On May 27, 2026, CMS issued Change Request 14468, which instructs Medicare Administrative Contractors (MACs) to update how Rural Health Clinics (RHCs) bill and are reimbursed for distant site telehealth services. Prior to this update, RHCs were required to bill CPT code G2025 for any service performed via telehealth and were reimbursed at a standard rate of $97.53 for 2026 dates of service. While the G2025 code allowed RHCs to be reimbursed for distant site telehealth services, the utilization of a single code made it difficult for RHCs to accurately report on which telehealth services they provided to patients.
How Will RHC Telehealth Billing Change?
Effective October 1, 2026, RHCs will be required to bill individual HCPCS codes specific to the telehealth services rendered to patients. A listing of the current telehealth HCPCS codes can be found here. RHCs will still be required to report modifier 93 for audio-only services and modifier 95 for audiovisual telehealth services.
This change will allow RHCs to better capture and report the various telehealth services provided to patients. However, RHCs should review their current system setup to confirm that the G2025 code is no longer used for telehealth services provided after October 1, 2026, and that applicable telehealth codes are available in electronic medical record (EMR) and billing systems. Failure to do so may result in delayed claim submission and/or claim denials if incorrect CPT codes are submitted to CMS for processing.
How Forvis Mazars Can Help With RHC Billing
Our team helps new and existing RHCs identify and act on performance improvement opportunities. If you have any questions about the new telehealth billing requirements or would like assistance evaluating your organization’s readiness and the potential impact, please reach out to a professional at Forvis Mazars.