Anthem Now Providing Telehealth Coverage

Response to Letter on behalf of Colorado APTA and Colorado Physical Therapy Network - URGENT

What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? 

For 90 days effective March 17, 2020, Anthem will waive member cost shares for telehealth visits for the following physical, occupational and speech therapies for visits coded with Place of Service (POS) “02” and modifier 95 or GT:

  • Physical therapy (PT) evaluation codes 97161, 97162, 97163, and 97164
  • Occupational (OT) therapy evaluation codes 97165, 97166, 97167, and 97168
  • PT/OT treatment codes 97110, 97112, 97530, and 97535
  • Speech therapy (ST) evaluation codes 92521, 92522, 92523, and 92524
  • ST treatment codes 92507, 92526, 92606, and 92609

PT/OT codes that require equipment and/or direct physical hands-on interaction and therefore are not appropriate via telehealth include: 97010-97028, 97032-97039, 97113-97124, 97139 - 97150, 97533, and 97537-97546