Wiki Place of service-Telehealth service

Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
M
Fidelis NY is denying the telephonic codes 99441 to 99443. Should these codes be billed with POS 02 modifier GT or POS 11 modifier GT. So far this plan does not pay when the claims are billed according to the guidance.

I welcome any help. Thanks

prem_ponnuru

Networker
Messages
77
Best answers
0
Hello Everyone,

Need clarification on POS for telehealth services. For example physician office in Texas state, internal medicine audio-video telehealth service, do we use POS as 11 or 02 ?

Appreciate any help.

Thanks in advance,
Prem
 
Last edited:

TThivierge

Guru
Messages
200
Location
Lithonia, GA
Best answers
0
Hi
At my outpt. clinic bills for telephone or video visits using 99441 to 99443. The providers must verify patient demographic info, define at type is it a phone or video call, add minutes talk to patient in record, expand on patient's HPI and reason for phone call. Add PMH, and what pt. tells them over the phone and recommendations. We add modifier 95 if video and no modifier if regular phone call. If therapist or nurses do the phone calls use the CPT 98986 .But need to check with payers. Also use Z71.89 as last dx code. Oh yes , first the nurse gets patient on phone and verify all info it is noted in record, then call given to docs for noting HPI and reviewing meds, symptoms, ongoing dx ETC.

I hope this info helps you
Lady T :cool:
 
Top