Do covered services that are coverable when provided using telecommunications technology require use of video?

ANSWER: Some services are coverable during the COVID-19 public health emergency (PHE) when provided using real-time, interactive audio-video telecommunications. (Services such as telephone evaluation and management services do not require the use of video.) Some services that are coverable when provided using real-time, interactive audio-video telecommunications are also coverable when video was not used; however, because video is clinically significant to services that normally require face-to-face interaction, such services provided without video are only coverable when it was impossible to use video. In other words, PHE exceptions to normal requirements, designed to ensure that patients receive critical services in unprecedented times, do not imply that otherwise-applicable standards can be ignored when it is practical to continue to meet them