Reimbursement has been one of the biggest barriers in terms of adopting telehealth platforms. Recently, however, the Centers for Medicare and Medicaid Services (CMS) has begun to recognize the value of these platforms, reflected by new codes and associated reimbursement for e-consults that were finalized in the 2019 CMS Clinical Lab Fee Schedule. These updates expand Medicare reimbursement for several modalities of asynchronous communications, including asynchronous inter-professional internet consultations and remote evaluation of patient information.