Wiki AWV - Telemedicine

[KoBee]

If Annual Wellness visit is being done AUDIO only, is there a modifier that we are suppose to be using or not.

I know CMS hasn't accepted modifier 93.
Modifier 95 is for both AUDIO & VIDEO together.

Wondering how others are billing and coding AUDIO only AWVs.

 

[OpenClaims]

Hello,

If this is a Medicare patient the modifier would be FQ for audio only. Here is an cms MLN for CY2022.

https://www.cms.gov/files/document/mm12549-cy2022-telehealth-update-medicare-physician-fee-schedule.pdf

 

[KoBee]

Hello,

If this is a Medicare patient the modifier would be FQ for audio only. Here is an cms MLN for CY2022.

https://www.cms.gov/files/document/mm12549-cy2022-telehealth-update-medicare-physician-fee-schedule.pdf

Isn't this only for mental health services?? and G2080

 

[OpenClaims]

Isn't this only for mental health services?? and G2080

Yes, that article looks like it is adding these modifiers for mental health. sorry that is my fault. The article that i attached shows a link to a list of telehealth approved codes, and the G0438 and G0439 are approved for telehealth as Audio-only Interaction. Here is another article, its an FAQ with Medicare claims information. The articles i keep pulling are showing 93 modifier for audio only, effective 1.1.2022 but you mentioned above that Medicare is not accepting this modifier. Here is another article i pulled for telehealth information.

https://www.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf