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September/October 2026 Top of Mind

When to use HCPCS code Q3014 for telehealth services

The use of telehealth for delivering behavioral health care continues to grow, particularly for members in locations where there are limited provider options.

HCPCS code Q3014 can be billed in circumstances where care is delivered via telehealth at a local clinic, hospital, or medical facility – referred to as the originating site –  where a patient is physically located during a video visit. This means two separate claims need to be submitted – one by the clinician delivering the services and one by the physical site where the member is at for the telehealth visit.

Understanding the telehealth billing guidelines for each of those claims is crucial to preventing claim denials and reimbursement delays. Read on for what you need to know. You can also review current policy specifics on the CMS List of Telehealth Services.

What is Q3014 used for?

This is the HCPCS Level II code for the telehealth originating site facility fee. Code Q3014 is generally billed as a standalone line item without telehealth modifiers.

How often can Q3014 be billed?

The code is generally restricted to a maximum of one claim per patient, per day.

What is considered a telehealth originating site?

It can be a local clinic, hospital or medical facility where a patient is physically located during a video visit. It must have an appropriate private room set up with computer equipment and internet connection for the member to use for the telehealth visit. Options include:

  • Hospitals – Inpatient, Outpatient or Critical Access
  • Physician Clinics
  • Rural Health Clinics (RHCs)
  • Federally Qualified Health Centers (FQHCs)
  • Skilled Nursing Facilities (SNFs)
  • Community Mental Health Centers (CMHCs)

Who can bill using this code?

Only the originating site can bill Q3014 for hosting a member for a telehealth visit.  Note:
  • Q3014 cannot be billed by the remote clinician providing the care. The clinician should only bill for the behavioral health service(s) provided. 
  • A single entity cannot submit claims for both the originating site and the distant site/clinician for the same member encounter.

Where is the member located during the telehealth visit?

The patient must be physically present at an approved originating site, as outlined above.

Q3014 cannot be billed if the patient joins the telehealth appointment from their home.

 


 

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