In July 2025, CMS rolled out updates that clarify and extend telehealth policies for orthopedic practices, especially for surgical follow-up care. These changes, effective through September 30, 2025, refine billing and expand telehealth options. Here’s a concise breakdown of what’s new and how to navigate it carefully to avoid errors.

Key Updates

• Telehealth Flexibilities Extended: Through September 30, 2025, Medicare allows telehealth for non-behavioral services, including at-home visits and audio-only options, regardless of location or provider type.
• Home as Originating Site: Orthopedic surgeons can provide telehealth from home but must bill using their enrolled practice address.
• Virtual Supervision: Real-time audio-video supervision for incident-to services and select care remains valid through December 31, 2025.

New Billing for Surgical Follow-Ups

CMS introduced changes to streamline coding for global surgical periods:

• Modifier -54 (Surgical Care Only): Required for 90-day global surgical packages when the surgeon performs the procedure but not the postoperative care.
• Add-On Code G0559: A new code to bill for postoperative follow-up by a different practitioner, paired with an E/M visit code to cover resources used.

Quick Reference: Policy ChangesWhat This Means for Your Practice

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• Bill Accurately: Use modifier -54 when the surgeon skips post-op care, and apply G0559 for follow-ups by other providers. Document the surgical date and who provided care to justify these codes.
• Maximize Telehealth: Leverage virtual visits for post-op patients, especially those at home, to improve access and efficiency through September 2025.
• Stay Proactive: These rules are temporary, so watch for updates beyond 2025, particularly on supervision and coverage policies.

Final Thoughts

The July 2025 CMS updates offer orthopedic practices clear billing options and extended telehealth flexibility for surgical follow-ups. Use modifier -54 and G0559 correctly, document thoroughly, and take advantage of telehealth while it’s available. Staying precise with coding and prepared for future changes will keep your practice compliant and patient care seamless.