1. For instance, you would use an 11 for what would have been an office visit.
   

2. To receive full Medicare reimbursement, providers must use Modifier 95 for Telehealth visits, as they are otherwise paid at a lower rate.

1. Enter a modifier of 95 to the procedure line (such as M1 or M2). This modifier identifies that the charge is for a Telehealth visit.
   

Telehealth for Commercial Payers

1. The Telehealth Place of Service (POS) code is 02.
   
1. The POS is pulled from the Service Facility and updated during Charge entry for Telehealth services.
   
2. We do not typically recommend adding duplicate facilities to handle this (such as creating one facility twice for an office and Telehealth).
1. If all of your services are provided via Telehealth during the COVID-19 crisis, you can temporarily change the POS on the Service Facility to 02.
   
2. If you are providing both office and Telehealth services, ensure you are being careful when completing a charge entry.
   
3. Some payers require Modifier 95 to designate a Telehealth charge, such as Medicare. For information on Telehealth for Medicare, see the following section.
   
4. There is a Charge Management Rule to warn users who have entered telemedicine-specific, time-based CPT codes (99421-99423 and G2061-G2063) without a POS 02 code.
   
5. For POS 02 reporting, use the Query by Form report or the Custom Encounter Query report. We are developing a POS filter and a Group By option available for many commonly used reports.

Resources

For Internal Use Only: Cross Code - Send Reporting Provider's Address as Facility