2025 Procedure and Place of Service Code Changes for Telehealth Evaluation and Management Services

Certain Current Procedural Terminology (CPT) procedure codes for telemedicine evaluation and management (E/M) services have been updated per American Medical Association (AMA) official guidance.

Effective January 1, 2025:

• ForwardHealth covers new telehealth CPT codes 98000–98015 for E/M services. Once the systems updates are complete, ForwardHealth will automatically process any suspended claims. No other action is required.
• The AMA end-dated E/M telehealth CPT codes 99441, 99442, and 99443 December 31, 2024.
• Per AMA official guidance:
  • CPT codes 99202–99205 and 99212–99215 are no longer used with telehealth place of service (POS) codes 02 (Telehealth Provided Other Than in Patient's Home) and 10 (Telehealth Provided in Patient's Home).
  • POS codes 02 and 10 for 99202–99205 and 99212–99215 were end-dated December 31, 2024. If a claim was previously denied, providers should refer to the new E/M telehealth CPT codes 98000–98015.
• ForwardHealth has updated coverage policy for office or outpatient E/M services. This mirrors official AMA changes to Appendix P of the 2025 CPT codebook (with CPT codes that may be used for synchronous real-time interactive audio-visual telemedicine services).

Reminder: Policy information for CPT and Healthcare Common Procedure Coding System (HCPCS) procedure codes is subject to change.

Once the systems updates have been completed, ForwardHealth will publish the ForwardHealth Update for the 2025 first quarter CPT and HCPCS procedure code changes.