Highmark Telehealth updates

Hello Pennsylvania and West VIrginia providers with Highmark contracts, please make note of upcoming changes to Telehealth

READ MORE HERE:

https://providers.highmark.com/communications-hub/news-and-updates/highmark-s-telehealth-policy-will-be-updated-on-sept-1.html?j=102708&sfmc_sub=1627429&l=6_HTML&u=950785&mid=524008820&jb=47

Telehealth is still eligible!  We are still reporting accurate place of service to indicate as well.  the are adding in code options more fitting for commercial plans:

AMA: Approved Telehealth Codes – Commercial ONLY

Effective Sept. 1, 2026*, Highmark will adopt the use of the following CPT codes for Evaluation and Management (E/M) telehealth services recommended by the AMA for our Commercial plans:

• Synchronous audio-video: 98000—98007.

• Synchronous audio-only: 98008—98015.

*NOTE: These codes will be effective on Sept. 1 for providers in Delaware, Pennsylvania, and West Virginia. Our New York service regions adopted the use of these codes in 2025.