Behavioral health services delivered via synchronous telemedicine
With the Nov. 1, 2021, updates to the following medical policies, additional behavioral health and autism spectrum disorder, or ASD, services are payable when delivered via telemedicine:
Behavioral health and ASD services must be delivered synchronously (in real time), with the exception of *96130 and *96156, which can be delivered asynchronously.
Telemedicine asynchronous (store and forward) care is generally not payable for behavioral health services.
This applies to Blue Cross commercial, Medicare Plus BlueSM, BCN commercial and BCN AdvantageSM members.
For more information about providing behavioral health and ASD services via telemedicine, see the Telehealth for behavioral health providers document, which is available on our public website at bcbsm.com/coronavirus or within Provider Secured Services.
You can view the updated medical policies through the BCN Medical Policy Manual. To do this:
Soon, the updated policies will also be available through our Medical Policy & Pre-Cert/Pre-Auth Router on bcbsm.com.
*CPT codes, descriptions and two-digit modifiers only are copyright 2020 American Medical Association. All rights reserved.
Posted: November 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network