Billing requirements change for telehealth
Blue Cross Blue Shield of Michigan recently announced that billing requirements for telehealth services changed, effective June 1, 2018. Practices that bill for telehealth services must:
- Report all telehealth services, including telephone and online visits, with the place of service (POS) 02.
- Use modifiers GT and 95 only if you're providing telehealth 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:Online visits *99444 and *98969 - do not use modifier GT and 95
Procedure code: Telephone *99441-99443 and *98955-98968 - do not use modifier GT and 95
Procedure code: Professional CPT codes, audio only - do not use modifier GT and 95
Procedure code: Professional CPT codes, audio and visual - USE modifier GT and 95
Please refer to the June 2018 edition of BCBSM's The Record newsletter or contact your BCBSM representative.