What is the modifier code for telehealth therapy?
Asked by: Jazmin Wiza | Last update: October 31, 2025Score: 5/5 (72 votes)
Do you use 95 or GT modifier for telehealth?
The GT modifier is actually becoming less and less common and has been replaced by either modifier 95 or the place of service code 02. Some private insurance companies still recognize and accept the GT modifier for telehealth services.
What is the modifier for telehealth therapy?
Telehealth CPT Code Modifiers: 95, GT, GQ, G0. The correct insurance billing modifier to use for telehealth billing for therapists depends on the guidelines of the insurance company you're billing.
Is modifier 95 required for telehealth services in 2024?
Therapy providers, including SLPs, will continue to use modifier “95” to indicate telehealth services and will not use one of the POS codes for telehealth services, regardless of settings. SLPs should continue to report the POS code that best reflects where services would have been provided in person.
Is modifier 93 required for telehealth services?
Modifier 93 must be used for Medi-Cal covered benefits or services delivered via synchronous, telephone or other interactive audio-only telecommunications systems. Only the portion(s) of the telehealth service rendered at the distant site are billed with modifier 93.
Day in the Life of a Telehealth Therapist || Remote Therapist
When to use modifier 92?
Alternative Laboratory Platform Testing: When laboratory testing is being performed using a kit or transportable instrument that wholly or in part consists of a single use, disposable analytical chamber, the service may be identified by adding modifier 92 to the usual laboratory procedure code (HIV testing 86701-86703) ...
How to bill telehealth visits in 2024?
Coding for Audio-video Visits
Use the POS that aligns with the patient's location. As of January 1, 2024, Medicare pays telehealth services provided in the patient's home (POS 10) at the non-facility rate. Telehealth services provided at an originating site (POS 02) are paid at the facility rate.
What is the difference between telehealth and telemedicine?
While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services. There are several other ways to define telehealth.
What is modifier 83?
Modifier 83 is used to identify assistant at surgery services provided by a physician assistant or nurse practitioner. ...
How to code telehealth psychotherapy?
In behavioral health, the modifier 95 is added to the original code to signify teletherapy. For example, you would add the 95 modifier to 90834 to signify a 45-minute teletherapy session (i.e., 90834-95). To be billed with this modifier, a face-to-face video session needs to have occurred.
Is telehealth billed differently?
Medi-Cal pays the same rate for professional medical services provided by telehealth as it pays for services provided in-person. Please see the Payments and Claims section on this page.
What is the modifier for 90837 telehealth?
So, you would use the CPT Code 90837 Modifier 95 for virtual sessions that are 53 minutes or longer. To further maximize your reimbursement, include the appropriate extender code if the session exceeds 53 minutes.
Does UHC require 95 modifier for telehealth?
UnitedHealthcare requires one of the telehealth-associated modifiers (GT, GQ, G0 or 95) to be reported when performing a service via Telehealth to indicate the type of technology used and to identify the service as Telehealth.
Will Medicare pay for telehealth in 2025?
Medicare patients can receive telehealth services for non-behavioral/mental health care in their home through March 31, 2025. There are no geographic restrictions for originating site for Medicare non-behavioral/mental telehealth services through March 31, 2025.
What is the modifier FR for telehealth?
FR = A supervising practitioner was present through a real-time two-way, audio/video communication technology.
What are the three types of telehealth?
There are three main types of telemedicine, which include store-and-forward, remote monitoring, and real-time interactive services. Each of these has a beneficial role to play in overall health care and, when utilized properly, can offer tangible benefits for both healthcare workers and patients.
Is telehealth considered medical treatment?
Telehealth (previously called telemedicine) is seen as a tool in medical practice, not a separate form of medicine. There are no legal prohibitions to using technology in the practice of medicine, as long as the practice is done by a California licensed physician and complies with state and federal privacy laws.
What is another word for telehealth?
The terms used to describe these broadband-enabled interactions include telehealth, telemedicine and telecare. "Telehealth" evolved from the word "telemedicine." "Telecare" is a similar term that you generally hear in Europe. All three of these words are often – but not always – used interchangeably.
When to use GT or 95 modifier?
The two most commonly used modifiers are the GT modifier for telehealth service rendered via interactive audio and video telecommunications systems, and the 95 modifier for synchronous telemedicine service rendered via a real-time interactive audio and video communications system.
What is modifier 59?
Modifier 59 Distinct Procedural Service indicates that a procedure is separate and distinct from another procedure on the same date of service. Typically, this modifier is applied to a procedure code that is not ordinarily paid separately from the first procedure but should be paid per the specifics of the situation.
What is the billing code for telehealth visits?
How is an office visit conducted via audio-video billed? Office visit evaluation and management services (CPT codes 99202-99205, 99211-99215) furnished using audio-video telecommunications technology are reported using the same CPT codes as you would have had the visit been conducted in-person.
What is a 93 modifier used for?
Modifier 93 is a new audio-only telemedicine code that went into effect on Jan. 1, 2022. Modifier 93 describes services that are provided via telephone or other real-time interactive audio-only telecommunications system.
How do I know which modifier to use?
The correct modifier to use is determined by payor preference. There can be instances where a CPT code is further defined by an HCPCS modifier, for example, to describe the side of the body the procedure is performed on, such as left (modifier -LT) or right (modifier -RT).
What is a 73 modifier used for?
Modifier -73 is used by the facility to indicate that a surgical or diagnostic procedure requiring anesthesia was terminated due to extenuating circumstances or to circumstances that threatened the well being of the patient after the patient had been prepared for the procedure (including procedural pre-medication when ...