CMS Pub. 100-04, ch. 9, § 70.6

In the CY 2019 PFS final rule, CMS finalized a policy for payment to RHCs and FQHCs

for communication technology-based services (“virtual check-in”) or remote evaluation

services, effective January 1, 2019. CMS created a new Virtual Communications G Code,

G0071 for use by RHCs and FQHCs only, with the payment rate set at the average of the

PFS non-facility payment rate for communication technology-based services and remote

evaluation services.

RHCs and FQHCs receive an additional payment for the costs of communication

technology-based services or remote evaluation services that are not already captured in

the RHC AIR or the FQHC PPS payment when the requirements for these services are

met. Coinsurance and deductibles apply to RHC claims, and coinsurance applies to

FQHC claims for these services.

RHCs and FQHCs can bill HCPCS code G0071 alone or with other payable services on

an RHC or FQHC claim. The services should be billed with a revenue code 052x and

should not be billed with modifier CG for payment on RHC claims. HCPCS codes

G0071 are paid based on the lesser of the charges or the rate from the Medicare

Physician Fee Schedule (MPFS).