Telemedicine Modifier and Place of Service Codes

We understand telemedicine billing can be difficult and confusing sometimes. Our Telemedicine Rules Engine simplifies this process! 

We recommend that you submit all telemedicine claims with a telemedicine indicator. The Rules Engine offers preferred modifier recommendations when a recommendation is available. We recommend that the provider defaults to GT when a preferred modifier code is not recommended by the Rules Engine. 

Below are the most common synchronous telemedicine modifiers. 

1

GT Modifier:

  • The GT modifier is used to indicate a service was rendered via synchronous telecommunication.
  • In 2018, CMS replaced the GT modifier with POS 02. However, this does not mean that the GT modifier is no longer recognized. Some private payers still recognize and prefer the GT modifier. The Rules Engine provides modifier recommendations for each appointment based on past claims data to help providers determine which modifier is most appropriate. 
2

Modifier 95:

  • Modifier 95 is a fairly new modifier and used only when billing to private payers to indicate services were rendered via synchronous telecommunication.
  • It is important to note that Medicare and Medicaid do not recognize modifier 95. As with the GT modifier, not all payers recognize modifier 95. The rules engine is a good resource when it comes to selecting a modifier for your claim.
3

Place of Service 02:

  • According to CMS, POS 02 is defined as "the location where health services and health-related services are provided or received, through a telecommunication system."
  • As stated in the GT modifier section, CMS has replaced the GT modifier with POS 02. POS 02 can be used when billing CMS claims for synchronous telemedicine visits

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