Reminder: required billing for telehealth services
CarePartners of Connecticut would like to remind providers of the required billing practices for telehealth services, which are documented on our Telehealth/Telemedicine Payment Policy.
In accordance with industry standard correct coding, when submitting a claim for services provided via telehealth, you’re required to use place of service (POS) code 02 (telehealth provided other than in patient’s home) or POS 10 (telehealth provided in patient’s home), as appropriate.
To ensure proper payment, in conjunction with POS 02 or 10, you must also append one of the following modifiers (only these modifiers will be accepted for telehealth services), and only one should be reported per line:
- Modifier 93 – synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system (append to codes listed in Appendix T of the CPT Manual)
- Modifier 95 – synchronous telemedicine service rendered via a real-time audio and video telecommunications system (append to codes listed in Appendix P of the CPT Manual)
- Modifier GT – via interactive audio and video telecommunications systems
- Modifier GQ – via an asynchronous telecommunications system
- Modifier FQ – telehealth service utilizing real-time audio-only communication
- Modifier FR – the supervising provider was present in a real-time two-way, audio and video communication technology
- Modifier G0 – telehealth services for diagnosis, evaluation, or treatment of symptoms of an acute stroke.
As a reminder, appending the above-referenced modifiers to procedure codes that are inherently telehealth services (e.g., telephonic codes) is redundant and may result in a denial.
For complete information, please refer to the Telehealth/Telemedicine Payment Policy.