Telehealth Modifiers

Questions about telehealth billing.
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Cassandra
Posts: 10
Joined: Tue Jul 24, 2007 12:54 pm

Telehealth Modifiers

Post by Cassandra » Tue Apr 07, 2020 2:21 pm

In addition to the place of service code, what modifier is needed to successfully bill a telehealth claim?

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Gavin Walker
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Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
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Re: Telehealth Modifiers

Post by Gavin Walker » Wed Apr 08, 2020 8:28 am

That depends on the insurance involved and how you are doing your telehealth visits.

GQ - Only required when the insurance is Medicare and asynchronous communication such as texting is used for the telehealth visit.
GT and UI-UD - Only required when the insurance is Medicaid depending on your state. Some states do not require a modifier.
95 - Required by most commercial insurance.
Gavin Walker
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386

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