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HCPCS Q3014 · Level II · Q code

Q3014: Telehealth originating site facility fee, HCPCS Level II Q code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for Q3014

Medicare payment
no PFS amount
PFS status X; OPPS SI A: paid under another fee schedule or system
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
1
MAI 3
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
11
11 hospital outpatient
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS Q3014, added in 2001, as "Telehealth originating site facility fee". The physician fee schedule lists Q3014 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays Q3014 under a fee schedule or payment system other than OPPS. MUE limits for Q3014: practitioner 1 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Clinical: Data). In the NCCI PTP files v323r0 Q3014 appears in 11 practitioner pairs as column 2 and 0 as column 1 (most often with 98000, 98001, 98002), and in 11 hospital outpatient pairs as column 2 and 0 as column 1. Q3014 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD. HCPCS record: BETOS Y2 (other - non-Medicare fee schedule); pricing indicator 53; type of service 9 (other medical items or services). Nearby codes: Q2035, Q4006, Q4010, Q4012.

Q3014 descriptor and code status

The October 2026 HCPCS Level II file describes Q3014 as “Telehealth originating site facility fee”. It sits in the Q section (temporary codes), listed with the other Q codes for services and supplies (non-drug). Although searches often call it the "Q3014 CPT code", Q3014 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of Q3014
FieldValue
Short descriptorTelehealth facility fee
Added to HCPCS2001-10-01
Last actionN (no maintenance), effective 2001-10-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator53: statute
BETOS categoryY2: other - non-Medicare fee schedule
Type of service9: other medical items or services

Medicare payment for Q3014

The physician fee schedule lists Q3014 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays Q3014 under a fee schedule or payment system other than OPPS. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status X: statutory exclusion: not a physician service under the fee schedule. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for Q3014

MUE limits for Q3014: practitioner 1 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Clinical: Data). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for Q3014 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services13 Date of Service Edit: ClinicalClinical: Data
Facility outpatient hospital23 Date of Service Edit: ClinicalClinical: Data

The MUE lookup for Q3014 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, Q3014 is the column-2 (bundled) code in 11 active pairs, 0% of which allow a modifier and the column-1 code in 0; 0 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: CPT Manual or CMS manual coding instruction.

Column-1 codes most often paired with Q3014 (practitioner)
Column-1 codePairs
98000 (CPT; descriptor licensed by AMA)1
98001 (CPT; descriptor licensed by AMA)1
98002 (CPT; descriptor licensed by AMA)1
98003 (CPT; descriptor licensed by AMA)1
98004 (CPT; descriptor licensed by AMA)1
98005 (CPT; descriptor licensed by AMA)1
98006 (CPT; descriptor licensed by AMA)1
98007 (CPT; descriptor licensed by AMA)1

In the hospital outpatient PTP file v323r0, Q3014 is the column-2 (bundled) code in 11 active pairs, 100% of which allow a modifier and the column-1 code in 0; 0 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: CPT Manual or CMS manual coding instruction.

Column-1 codes most often paired with Q3014 (hospital outpatient)
Column-1 codePairs
98000 (CPT; descriptor licensed by AMA)1
98001 (CPT; descriptor licensed by AMA)1
98002 (CPT; descriptor licensed by AMA)1
98003 (CPT; descriptor licensed by AMA)1
98004 (CPT; descriptor licensed by AMA)1
98005 (CPT; descriptor licensed by AMA)1
98006 (CPT; descriptor licensed by AMA)1
98007 (CPT; descriptor licensed by AMA)1

Q3014 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check Q3014 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for Q3014

No current LCD or billing and coding article lists Q3014. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on Q3014

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of Q3014 exceed the practitioner MUE of 1 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for Q3014 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for Q3014 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS Q3014

What does HCPCS code Q3014 describe?

"Telehealth originating site facility fee" (short descriptor "Telehealth facility fee"), in the Q section (temporary codes). Added 2001-10-01.

Is Q3014 a CPT code?

No: CMS maintains Q3014 in HCPCS Level II, while the AMA maintains CPT. People do search "Q3014 CPT code", and it goes in the same procedure-code field.

What does Medicare pay for Q3014?

The physician fee schedule lists Q3014 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its OPPS status indicator is A, which the I/OCE table defines as "Services not paid under OPPS; paid under fee schedule or other payment system": Medicare pays Q3014 under a fee schedule or payment system other than OPPS.

How many units of Q3014 can be billed per day?

MUE limits for Q3014: practitioner 1 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Clinical: Data). For the practitioner MUE (MAI 3), units above 1 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover Q3014?

Q3014 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD.

CMS guidance

The Medicare Learning Network publication that CMS issues on this topic, cited by ICN and publication date:

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.