One Price for 283 Telehealth Codes, and an Edit if You Pick Wrong

Since 2020, one HCPCS code has carried every non-behavioral telehealth visit a rural health clinic or a federally qualified health center furnishes. On October 1 it stops working.

G2025 goes away as a billing code. In its place, 16,750 Medicare-enrolled RHCs and FQHCs start reporting the individual CPT or HCPCS code that describes what the practitioner actually did, plus modifier 93 or 95, plus the matching revenue code.

The remittance is unchanged. It stays $97.53, whichever code lands on the line.

"If the code you report has no effect on what you are paid, what exactly is the code doing?"

What the Claim Looks Like on October 1

CR 14468 went to the MACs on May 27 as transmittal R13776OTN, a Pub. 100-20 one-time notification. Effective date is October 1, 2026 by date of service, implementation October 5.

It revises no manual chapter, which is why it never surfaced as a policy change. The section II change table reads "N/A."

The operative sentence does all the work:

"For dates of service on or after October 1, 2026, RHCs and FQHCs shall bill the individual Current Procedural Terminology (CPT) or HCPCS codes that describe the distant site telehealth service furnished, instead of the single HCPCS code G2025."

Three fields now have to be right where one used to do:

• The CPT or HCPCS code, drawn from the CY2026 Medicare telehealth list. That list carries 283 codes, 278 of them held over from last year and five newly added (90849, 92622, 92623, G0473, G0545).
• The modifier. 93 for synchronous audio-only, 95 for synchronous audio and video. One or the other, on every line.
• The revenue code, reported alongside the modifier.

Type of bill is unchanged at 71X for RHCs and 77X for FQHCs. So is the underlying benefit: section 6209(c) of the Consolidated Appropriations Act, 2026 runs the distant site authority out to January 1, 2028, and nothing in this CR touches it.