April 13, 2021

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.SouthCarolinaBlues.com or www.BlueChoiceSC.com.

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