What is the telehealth modifier for 90837?
Asked by: Durward Wilderman | Last update: October 30, 2025Score: 4.6/5 (64 votes)
Do you use 95 or GT modifier for telehealth?
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 the CPT modifier for 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.
What is the modifier 59 for behavioral health?
Modifier 59: This modifier signifies that service was distinct or independent from other services performed on the same day. Mental health providers might use Modifier 59 to denote separate psychotherapy sessions conducted on the same day, each addressing different issues or utilizing different techniques.
Does CPT 90837 need a modifier?
What modifiers can I use with CPT code 90837. A common modifier used with CPT code 90837 is modifier 95. This is the modifier for teletherapy. Before using this modifier or scheduling teletherapy with a patient, make sure their plan covers this modifier.
Day in the Life of a Telehealth Therapist || Remote Therapist
When to use 59 or 51 modifier?
Modifier -51 would be attached because the biopsy is the lesser-valued procedure done at the same session, and modifier -59 would be attached to indicate that the biopsy, which is normally bundled with excision of the same lesion, was done on a separate lesion from the one that was excised.
What is a 57 modifier used for?
CPT modifier 57 may be used to report the decision for surgery for certain codes. This modifier may be used to indicate that an evaluation and management (E/M) service performed on the same day or the day before a major surgery (090 global days) by the surgeon resulted in the decision to perform the procedure.
What is the 33 modifier used for?
Current Procedural Terminology (CPT) modifier 33 can be used when billing for ACA-designated preventive services with a commercial payer. The addition of modifier 33 communicates to a commercial payer that a given service was provided as an ACA preventive service.
What is a 62 modifier used for?
Modifier 62
Two Surgeons. The individual skills of two surgeons (each in a different specialty) are required to perform surgery on the same patient during the same operative session.
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.
Can I bill 90847 and 90837 on the same day?
You can bill 90837 (individual therapy) and 90847 on the same day if, and only if, the services were separate and distinct.
What is the modifier for telehealth psychotherapy?
For instance, if billing for an individual psychotherapy session via telehealth, use CPT code 90801 followed by Mental Health Modifier 95.
What is a 90837 GT code?
CPT Code 90837 is a procedure code that describes a 60 minute individual psychotherapy session performed by a licensed mental health provider.
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 the 97 modifier used for?
Habilitative (modifier 96): services that help a person DEVELOP skills or functions they didn't have before. Rehabilitative (modifier 97) services that help a person RESTORE functions which have become either impaired or lost.
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 ...
What is modifier 95 used for?
-95: Synchronous telemedicine service rendered via a real-time interactive audio and video communications system.
What is a 52 modifier used for?
Modifier -52 identifies that the service or procedure has been partially reduced or eliminated at the physician's discretion. The basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What is the 55 modifier for?
POSTOPERATIVE MANAGEMENT ONLY: WHEN ONE PHYSICIAN PERFORMS THE POSTOPERATIVE MANAGEMENT AND ANOTHER PHYSICIAN HAS PERFORMED THE SURGICAL PROCEDURE, THE POSTOPERATIVE COMPONENT MAY BE IDENTIFIED BY ADDING THE MODIFIER -55 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09955.
What modifier is 77?
CPT Modifier 77 'Repeat procedure by another physician': A physician may need to indicate that he or she repeated a service performed by another physician on the same day.
What is a 24 modifier?
Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period.
What is a 22 modifier?
Modifier -22: Increased Procedural Services. This modifier is used to identify a service that requires significantly greater effort, such as increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required, than is usually needed for that procedure.
What is a 58 modifier used for?
Modifier 58 is defined as a staged or related procedure performed during the postoperative period of the first procedure by the same physician. A new postoperative period begins when the staged procedure is billed.