Texas Workers' Compensation

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§ 167.1. Physical Medicine and Rehabilitation Services – Telemedicine and Telehealth Billing Procedures

(a) This section applies to physical medicine and rehabilitation services provided to injured employees on or after April 13, 2020, through telemedicine or telehealth services conducted by synchronous audio and video interaction between the health care provider and the injured employee in another location, including services provided under Insurance Code Chapter 1305 or Labor Code §504.053(b)(2).

(b) The services and procedures provided under this section are subject to the billing and reimbursement requirements of §133.30(b), (c), (d), and (e) of this title (relating to Telemedicine and Telehealth Services). An originating site facility fee is not eligible for reimbursement under this section.

(c) A health care provider licensed to perform physical medicine and rehabilitation services may bill and be reimbursed for these telemedicine or telehealth services using the applicable Medicare codes. Medicare’s distant site practitioner requirements do not apply.

(d) Billing for services identified in this section must comply with the same billing, coding, reporting, and documentation requirements that apply under Chapters 133 and 134 of this title when these services are provided in person. The bill must include a place of service code “02 – telehealth.”

The provisions of this § 167.1 adopted to be effective April 13, 2020. 60- day extension adopted on August 10, 2020.

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At a Glance:

Title:

§ 167.1. Physical Medicine and Rehabilitation Services – Telemedicine and Telehealth Billing Procedures

Title:

Title 28. Insurance

Status:

Current

Usage:

New Law Rule

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