2026 Medicare Telehealth Updates: New CPT and HCPCS Codes, Billing Changes and Coverage Rules

Codes newly added to the Medicare Telehealth Services List for 2026

CodeService2026 update
CPT 90849Multiple-family group psychotherapyAdded to the Medicare Telehealth Services List
HCPCS G0473Group behavioral counseling for obesityAdded for telehealth billing
HCPCS G0545Infectious-disease add-on serviceAdded to the telehealth list
CPT 92622Auditory osseointegrated sound processor programming, first 60 minutesAdded to the telehealth list
CPT 92623Each additional 15 minutes of auditory osseointegrated processor programmingAdded as a telehealth service

CMS confirms that five CPT and HCPCS codes were added for CY 2026.

Other actual 2026 updates to cover

HCPCS Q3014  Telehealth originating-site facility fee

The 2026 maximum facility-fee amount increased from $31.01 to $31.85. Medicare pays 80% of the lesser of the actual charge or $31.85, subject to deductible and coinsurance.

HCPCS G0136  Social Determinants of Health Risk Assessment

CMS considered removing G0136 but retained it on the Medicare Telehealth Services List. Practices may continue reporting it through telehealth when all coverage, timing and documentation requirements are met.

Subsequent inpatient telehealth services

CMS permanently removed frequency restrictions affecting subsequent inpatient services, including the relevant inpatient E/M and telehealth consultation code families.

Subsequent nursing-facility services

The previous limits on how frequently subsequent nursing-facility care could be furnished through telehealth were permanently removed.

Critical-care consultations

Telehealth frequency limitations for critical-care consultations were also permanently removed beginning January 1, 2026.

Virtual direct supervision

Real-time, two-way audio-video supervision is now permanently permitted for many qualifying services. Audio-only supervision does not meet this standard, and services carrying a 010 or 090 global surgical indicator are excluded from the expanded policy.

Teaching physician virtual presence

A teaching physician may participate virtually when the patient, resident and teaching physician are connected in a three-way telehealth visit from separate locations.

RHC and FQHC telehealth

CMS continued payment for medical telehealth services furnished by Rural Health Clinics and Federally Qualified Health Centers through December 31, 2026.

 

Scroll to Top