
Contributor: Telehealth Utilization Continues to Fall Nationally From February to March 2021
From February to March 2021, telehealth utilization continued the nationwide decrease that began the previous month, but this time at a slower rate, according to FAIR Health’s
FIGURE 1. Monthly Telehealth Regional Tracker, February versus March 2021, United States
Telehealth utilization expanded greatly in 2020, as patients and providers sought a venue of care that would reduce the chance of transmitting COVID-19. Although there were some month-to-month decreases in telehealth usage in 2020, the decline that began in February 2021 coincided with a national
In another change from February to March 2021, nationally and in several regions, psychotherapeutic/psychiatric codes replaced or outranked evaluation and management (E&M) codes in the list of top 5 telehealth procedure codes. For example, in the South (Figure 2), 60-minute psychotherapy (CPT® 90837) rose from the number 3 to the number 1 position in the top 5 list, supplanting 2 E&M codes: 30-39-minute established patient outpatient visit (CPT 99214) and 20-29-minute established patient outpatient visit (CPT 99213). This trend was consistent with a continuing rise, nationally and in every region, in the percentage of telehealth claim lines associated with mental health conditions, the number one telehealth diagnosis.
FIGURE 2. Monthly Telehealth Regional Tracker, February versus March 2021, South
From February to March 2021, hypertension, as well as joint and soft tissue diseases, dropped in the rankings of telehealth diagnoses nationally and in some regions, while developmental disorders remained steady or rose in the rankings. Hypertension and joint and soft tissue diseases are largely adult conditions that were moving back to the office as COVID-19 vaccinations increased. Developmental disorders are more often seen in children, most of whom were not yet eligible for vaccination.
About the Monthly Telehealth Regional Tracker
Launched in May 2020 as a free service, the Monthly Telehealth Regional Tracker uses FAIR Health data to track how telehealth is evolving from month to month. An interactive map of the four US census regions allows the user to view an infographic on telehealth in a specific month in the nation as a whole or in individual regions. Each infographic shows month-to-month changes in volume of telehealth claim lines, top five telehealth procedure codes, top five telehealth diagnoses (or diagnostic categories) and top five granular diagnoses within the most common diagnostic category.
As the COVID-19 pandemic proceeds to a new stage marked by widespread vaccination, FAIR Health’s Monthly Telehealth Regional Tracker continues to monitor the evolution of telehealth in that context. This is one of many ways we pursue our mission of bringing transparency to healthcare information.
For the Monthly Telehealth Regional Tracker, click
Author Information
Robin Gelburd, JD, is the president of
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