Wiki CMS TELEHEALTH RULES....DOES CMS REQUIRE 95 MODIFIER FOR TELEHEALTH VISITS

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vbzone13

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Hello,
Looking for some guidance with CMS billing. Do we use 99202-99215 for telehealth visits audio/face with a specific modifier? Or do we enter a POS instead?
Same question applies for in home e&m visits? do we use 99202-99215 for in home care with POS assigned ?
What is modifier GQ, GT used for ?

TIA
 
We've done office visits 99202-99215 with modifier 95 for telehealth that's not only audio visits and haven't had any problems getting paid. I don't know about your other questions, though.
 
This will ultimately depend on the payor. Medicare mostly requires a 95. Medicaid in some states wants a GT, and I know that Tricare requires a GT as well.
vbzone13 said:
Hello,
Looking for some guidance with CMS billing. Do we use 99202-99215 for telehealth visits audio/face with a specific modifier? Or do we enter a POS instead?
Same question applies for in home e&m visits? do we use 99202-99215 for in home care with POS assigned ?
What is modifier GQ, GT used for ?

TIA
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Hello,
I am looking for some direction on telehealth services invol G codes for example G0425 , billed in a hospital setting place of service 21,22, or 23. We are getting denials as this is not typical for these place of services. Does anyone have any information on this.
 
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