Telehealth Updates

As a result of the COVID-19 pandemic, BlueCross^® BlueShield^® of South Carolina and its subsidiary BlueChoice HealthPlan provided a temporary expansion to telehealth services beginning March 16, 2020; however, this temporary expansion will come to an end on April 30, 2021.

Effective May 1, 2021, the following services will no longer be allowed as telehealth services:

92521
92526
92610
97110
97112
97129
97130
97162
97163
97166
97167
97530
98966 – 98968
99217 – 99226
99231 – 99236
99238 – 99239
99281 – 99285
99291 – 99292
99382 – 99387
99392 – 99397
99341 – 99350
99495
99496
G0151 – G0155
G0159 – G0162
G0299
G0300
Q5001
S9123
S9124
S9127 – S9131
T1030
T1031

These changes apply to all fully insured business (including the Health Insurance Marketplace), some self-insured plans and Medicare Advantage. Members with these plans are encouraged to consult their physician or other provider for availability of continued access to virtual care, as coverage will be dependent upon their benefits.

State employees and retirees covered through PEBA’s State Health Plan, which is administered by BlueCross BlueShield of South Carolina, should consult www.peba.sc.gov for more information on their coverage.

For additional telehealth coverage information, as it relates to COVID-19, click here.

Note: For further guidance, see CAM 176 by visiting the Medical Policies page located on www.BlueChoiceSC.com.

If you have any questions about this bulletin, please contact Provider Education using the Provider Education Contact Form.