By January 1, 2027 the Secretary must require codes on virtual platform claims
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6209, Sec. 6209.
Written by .
By January 1, 2027 the Secretary must require codes on virtual platform claims
The document says “shall”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 6209 in the PDF
What the document says
“Not later than January 1, 2027, the Secretary shall establish requirements to include one or more codes or modifiers, as determined appropriate by the Secretary, in the case of--”
Subsection (g) of section 6209 adds a new paragraph (10) to section 1834(m) of the Social Security Act. By January 1, 2027 the Secretary must require codes or modifiers on claims for telehealth services furnished through a telehealth virtual platform, where the physician or practitioner contracts with the entity that owns the platform or has a payment arrangement with an entity for its use, and on claims for telehealth services furnished incident to a physician's or practitioner's professional service.
What the document actually says
“Not later than January 1, 2027, the Secretary shall establish requirements to include one or more codes or modifiers, as determined appropriate by the Secretary, in the case of--”
That sentence, in plain words
By January 1, 2027 the health chief must set up a code rule. The rule covers the kinds of claim listed next.
What this is about
A virtual platform is a company that hosts care by screen. The codes show when a claim came through one. That makes the pattern visible.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6209, 140 Stat. 648 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“By January 1, 2027 the Secretary must require codes on virtual platform claims,” Consolidated Appropriations Act, 2026, section 6209, Sec. 6209. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6209-new-modifier-paragraph/ (retrieved October 10, 2026).
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