On October 10, the Centers for Medicare and Medicaid Services (CMS) released a Change Request (CR 13812) and Medicare Learning Network Article (MLN 13812) announcing that as of April 1, 2025, home health agencies will not have claims rejected telehealth G codes (G032, G0321, and G0322) are included in billing that overlaps with an inpatient, skilled nursing, or swing bed claim.

The  current edit rejects any home health claim if billed with dates of services that fall within the dates of an inpatient stay (not including admission, discharge or any leave of absence dates). However, since telehealth services are non-payable reporting items they do not create a duplicate payment.

CMS has been interested in better understanding home health agency use of telehealth and this adjustment to billing practices will allow home health agencies to continue to use these codes when communicating with the patient and caregiver during an inpatient stay that interrupts the home health period.