• GQ (not used unless you are in an Alaska or Hawaii telehealth demonstration project): asynchronous telehealth service. • GT: Critical Access Hospital distant site providers billing under CAH Optional Method II. • FQ: A Medicare telehealth service was furnished using real-time audio-only communication technology Through Dec. 31, 2024, there are no geographic restrictions for patients or providers. For Medicare, use the place of service code that identifies where the patient is located: POS 02 when the patient is not at home or POS 10 if the telehealth is provided in the patient’s home. However, consistent with current rules, there are three scenarios where modifiers are required on Medicare telehealth claims. In cases when a telehealth service is furnished via asynchronous (store and forward) technology as part of a federal telemedicine demonstration project in Alaska and Hawaii, the GQ modifier is required.
However, consistent with current rules, there are three scenarios where modifiers are required on Medicare telehealth claims. In cases when a telehealth service is furnished via asynchronous (store and forward) technology as part of a federal telemedicine demonstration project in Alaska and Hawaii, the GQ modifier is required. The Current Procedural Terminology (CPT ®) code 98016 as maintained by American Medical Association, is a medical procedural code under the range - Brief Synchronous Communication Technology Evaluation and Management Service (eg, Virtual Check-In). In cases when you may bill Medicare for “non-face-to-face” telehealth services, report the appropriate code for the professional service with modifier GQ Via asynchronous telecommunications system. In all other cases, as a condition of payment, the patient must be present and participating in the telehealth visit. The Current Procedural Terminology (CPT ®) code 96041 as maintained by American Medical Association, is a medical procedural code under the range - Medical Genetics and Genetic Counseling Services. How POS Codes Affect Payment. CMS created the POS 02 for telehealth so that a modifier was not needed. By using POS 02, the MAC knows the service is telehealth and processes the claim as such.
In cases when you may bill Medicare for “non-face-to-face” telehealth services, report the appropriate code for the professional service with modifier GQ Via asynchronous telecommunications system. In all other cases, as a condition of payment, the patient must be present and participating in the telehealth visit. The Current Procedural Terminology (CPT ®) code 96041 as maintained by American Medical Association, is a medical procedural code under the range - Medical Genetics and Genetic Counseling Services. How POS Codes Affect Payment. CMS created the POS 02 for telehealth so that a modifier was not needed. By using POS 02, the MAC knows the service is telehealth and processes the claim as such. Modifier GT’s counterpart, modifier GQ Via asynchronous telecommunications system, is still required, when applicable (i.e., if the physician or practitioner is affiliated with a federal telemedicine demonstration conducted in Alaska or Hawaii).