CMS Pub. 100-04, ch. 9, § 80

RHCs and FQHCs may bill the Telehealth originating site facility fee on a RHC or

FQHC claim under revenue code 0780 and HCPCS code Q3014. Telehealth services are

the only services billed on FQHC claims that are subject to the Part B deductible.

Additionally, a FQHC payment code and qualifying visit HCPCS code are not required

when the only service reported on the claim is for Telehealth services.

Before March 27, 2020, Rural Health Clinics (RHCs) and Federally Qualified Health

Centers (FQHCs) were not permitted to serve as distant sites for telehealth consultations,

meaning they could not bill for these visits or include their costs in the cost report.

CMS introduced a new HCPCS code G2025, which allows payment for non-behavioral

telehealth services provided when RHCs or FQHCs serve as the distant site.

RHCs and FQHCs can temporarily continue offering non-behavioral health visits via

telecommunication technology under the existing methodology established during the

COVID-19 Public Health Emergency (PHE) until December 31, 2025, or later date if

extended. Specifically, they can bill for services delivered through telecommunication

technology by using HCPCS code G2025 on claims, which includes services provided

through audio-only communications technology until December 31, 2025, or later date if

extended.

Beginning January 1, 2023, RHCs and FQHCs may report and receive payment for

mental health visits furnished via telehealth. These services are billed in the same manner

as in-person visits, rather than using HCPCS code G2025.

For more information on Telehealth services please see Pub. 100-04, Medicare Claims

Processing Manual, Chapter 12, Section 190: http://www.cms.gov/Regulations-and-

Guidance/Guidance/Manuals/Downloads/clm104c12.pdf and Pub. 100-02, Medicare

Benefit Policy Manual, Chapter 13, Section 200:

https://www.cms.gov/regulations-and-

guidance/guidance/manuals/downloads/bp102c13.pdf