Medicare FQHC telehealth claims now need individual codes instead of G2025
Issue
For dates of service from October 1, 2026, CMS requires FQHCs and rural health clinics to bill the individual CPT or HCPCS code for each distant-site telehealth service instead of G2025. Each claim needs a revenue code and modifier 93 for audio-only or 95 for video, and health centers can keep serving as distant sites until January 1, 2028.
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CMS MLN Matters MM14468Sources for your board packet
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Part of
- Medicare payment and value-based care
Care-management codes and telehealth
FQHC Talent. (2026, October 1). Medicare FQHC telehealth claims now need individual codes instead of G2025. Source: CMS MLN Matters MM14468. Retrieved October 9, 2026, from https://www.fqhctalent.com/intel/medicare-fqhc-rhc-telehealth-g2025-replaced-individual-codes-october-2026
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