Billing Code Overview

HCPCS Level II code Q3014 represents the telehealth originating site facility fee charged when a patient uses a designated location to connect with a distant telehealth practitioner. The service type is Facility/Telehealth originating site fee, and the typical site of service is Office (POS 11).

Data not available in the input.

A patient arrives at a primary care office seeking evaluation for new or worsening symptoms and requests a telehealth visit. The clinic has an established telehealth workflow: the patient checks in remotely from the originating site (the office) and is connected via a real-time interactive audio and video system to a remote practitioner located offsite. Staff verify patient identity, obtain brief intake information, document vitals if available, and confirm technology connectivity. The practitioner conducts the synchronous evaluation and documents the encounter in the medical record. The facility bills HCPCS Level II code Q3014 as the telehealth originating site facility fee to reimburse the site of service for providing the location and support for the telehealth encounter. Typical presenting problems prompting use of this facility fee include routine adult or pediatric preventive visits, anxiety symptoms, or acute upper respiratory complaints when patients are seen via telemedicine from the office location.

Modifiers

• 95: Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System — used to indicate the service was delivered via synchronous audio-video telemedicine.

• GT: Via interactive audio and video telecommunication systems — an alternative modifier indicating the service was provided through interactive audio-video technology.

Associated provider taxonomies

• 208D00000X — General Practice: Physicians providing comprehensive primary care across age groups.

• 207Q00000X — Family Medicine: Physicians delivering primary care for patients of all ages, including preventive and acute care.

• 207R00000X — Internal Medicine Physician: Physicians focused on adult primary and specialty internal medicine.

• 208000000X — Pediatrics: Physicians providing medical care for infants, children, and adolescents.

• 2084P0800X — Psychiatry: Physicians providing mental health evaluation and management.

Related diagnoses

• Z71.1 — Person with feared health complaint in whom no diagnosis is made.

  Relevance: May be recorded when the visit addresses patient concerns without a definitive diagnosis; applicable to triage or consultative telehealth encounters billed with the originating site fee Q3014.

• Z00.00 — Encounter for general adult medical examination without abnormal findings.

  Relevance: Represents routine adult preventive examinations that may be conducted via telehealth from an originating site; the site may bill Q3014 for facility support of the telehealth visit.

• Z00.129 — Encounter for routine child health examination without abnormal findings.

  Relevance: Represents routine pediatric preventive visits that can occur via telehealth with the originating site billing Q3014 for facility services.

• F41.9 — Anxiety disorder, unspecified.

  Relevance: A common behavioral health complaint that may be evaluated via synchronous telepsychiatry or primary care telehealth; Q3014 applies to the originating site when the encounter uses audio-video telemedicine.

• J06.9 — Acute upper respiratory infection, unspecified.

  Relevance: A frequent acute complaint triaged or managed via telehealth; the office acting as the originating site may bill Q3014 for the facility fee during the synchronous audio-video encounter.

Related codes

• 99201 — Office or other outpatient visit for the evaluation and management of a new patient.

  Relation: Represents an in-person office E/M for a new patient; may be an alternative when the clinician and patient are co-located rather than using telehealth. Not typically billed with Q3014 because Q3014 is an originating site facility fee for telehealth encounters.

• 99212 — Office or other outpatient visit for the evaluation and management of an established patient.

  Relation: Represents a lower-complexity in-person E/M for an established patient; may be billed by the practitioner for the clinical visit portion when the visit occurs in the office or via telehealth (subject to payer rules). Q3014 is billed separately by the originating site when the encounter is telehealth.

• 99441 — Telephone evaluation and management service provided by a physician to an established patient.

  Relation: A telephone E/M code for audio-only encounters; may be an alternative to a telehealth audio-video visit. Q3014 is specifically for an originating site facility fee for synchronous audio-video telehealth and would not apply to purely telephone services unless payer policy permits.

• 99442 — Telephone evaluation and management service provided by a physician to an established patient, 11-20 minutes.

  Relation: Higher-duration telephone E/M alternative to video telehealth; relationship to Q3014 is as an alternative service mode; Q3014 generally applies to synchronous audio-video encounters rather than telephone-only services.

• 99443 — Telephone evaluation and management service provided by a physician to an established patient, 21-30 minutes.

  Relation: Long-duration telephone E/M alternative; similar considerations apply regarding Q3014 and payer-specific rules on whether a facility originating fee applies.

National commercial mean rates for HCPCS Level II code Q3014 are notably higher for BUCA (the commercial average) at $34.16 compared with Medicare, for which no numeric mean rate is provided in the input. Blue Cross Blue Shield and UnitedHealthcare report the highest commercial mean rates among the listed payers at $37.64 and $42.74 respectively, while Aetna and Cigna Health report lower means at $25.25 and $28.20.

Rate dispersion (P75 minus P25) varies across payers. UnitedHealthcare shows the widest spread (52.50 − 27 = 25.50), indicating substantial variability, while Cigna Health is the tightest with no dispersion (25 − 25 = 0). Aetna (28 − 25 = 3) and Blue Cross Blue Shield (32.50 − 22 = 10.50) show moderate dispersion. The table and chart below present the full breakdown.