Understanding the 2025 telehealth CPT® codes for video and audio-only visits

Telehealth services continue to evolve in 2025, with updated CPT® codes for synchronous (real-time) audio-visual and audio-only consultations.    

Practice leaders need to ensure their team members involved in coding and billing stay informed about these updates to properly document services, differentiate synchronous (real-time) care from asynchronous (store-and-forward) modalities, and ensure alignment with technology capabilities, privacy requirements, and patient needs. 

Table. Telehealth CPT® Codes for 2025

• Add-on code 99417 for prolonged services may be added when total time, with or without direct patient contact, is documented and must meet or exceed 15 minutes in addition to the E/M codes above.  

Other key points on telehealth:   

• Telehealth follow E/M documentation guidelines based on MDM or total time spent.  
• Place of service (POS) codes will continue to have two site designations:  
  • 02 Patient not in their home when telehealth services delivered  
  • 10 Patient in their home when telehealth services delivered and will remain at the non-facility rate.  
• Teaching physicians may maintain virtual presence in all teaching settings only for Medicare telehealth services through Dec. 31, 2025.  
• Direct supervision through real-time audio and visual interactive telecommunications (not audio-only) will continue to be allowed on qualifying services. 
• As of Jan. 1, 2025, selected behavioral and mental health services will be offered permanently under telehealth for Medicare patients. 
  • See MGMA’s analysis of the 2025 Medicare Physician Fee Schedule Final Rule for more details on behavioral and mental health service updates. 
• Providers are permitted to list their practice address rather than their home address when performing telehealth services from their personal home.  

 As healthcare communication evolves, new CPT® codes allow providers to deliver and capture efficient care while ensuring proper reimbursement for their time and expertise. 

Additional resources 

• Access MGMA’s member resource on the Status of Medicare Telehealth Waivers. 
• Read the recent insight article, “Creating a competitive advantage with digital transformation in medical practices.”