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June 2018

New billing requirements for telemedicine services start June 1

Starting June 1, 2018, billing requirements for telemedicine services will change. You’ll need to:

  • Report all telemedicine services, including telephone and online visits, with the place of service 02.
  • Use modifiers GT and 95 only if you’re providing telemedicine services with live audio and video telecommunication.

If you deliver an audio-only telehealth service, don’t use modifier GT or 95. However, you need to bill POS 02 in all situations.

Procedure code

Use modifiers
GT and 95?

POS

Online visits
*99444 and *98969

No

02 — telehealth

Telephone
*99441-99443 and *98955-98968

Professional CPT codes
Audio only

Professional CPT codes
Audio and visual

Yes

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.