September/October 2026 Top of Mind

HCPCS code G2025 can no longer be billed for telehealth beginning Oct. 1, 2026

CMS has updated its Medicare billing guidance for Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) regarding distant site telehealth services.

For dates of service on or after Oct. 1, 2026, RHCs and FQHCs must bill the individual CPT or HCPCS codes that describe the distant site telehealth service they provide to Medicare members instead of HCPCS code G2025. Please update your billing processes as soon as possible to reflect this change.

RHCs and FQHCs must also report the appropriate revenue code along with 1 of the following modifiers:

• 93 – Synchronous Telemedicine Service Rendered via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System
• 95– Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System

Background

Section 6209(c) of the Consolidated Appropriations Act, 2026 extended telehealth service flexibilities that allow RHCs and FQHCs to serve as distant site providers of telehealth services until Jan. 1, 2028. RHCs and FQHC practitioners can provide distant site telehealth services:

• That are within their scope of practice and approved as distant site telehealth services under the Physician Fee Schedule.
• From any location during the time they’re working for the RHC or FQHC

Questions? 

Call Provider Services at 1-877-614-0484, 7 am – 7 pm CT, Monday – Friday.