| Modifier | Description |
|---|---|
| 93 | Telehealth modifier defined as "synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system". This modifier should only be used by Opioid Treatment Programs (OTPs) and Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Opioid Treatment Programs (OTPs) report on claims for counseling and therapy provided using audio-only technology. |
| 95 | Telehealth modifier defined as "synchronous telemedicine service rendered via real-time Interactive audio and video telecommunications system". Should only be appended to approved telehealth codes. Opioid Treatment Programs (OTPs) report on claims for counseling and therapy provided using audio-video only technology: Reference Opioid Treatment Programs Claims For institutional billing, use modifier 95 for dates of service on and after January 1, 2024, through December 31, 2024, when: The clinician is in the hospital and the patient is in their home. Outpatient therapy provided via telehealth by PTs, OTs or SLPs employed by hospitals. Note: Providers should continue to bill claims for telehealth services with the POS if the service had been done in person and modifier 95 through December 31, 2023. |
| FQ | The service was furnished using audio-only communication technology. Use when the patient is unable to use audio and video communications. Note: This modifier should only be used by RHCs and FQHCs. Report modifier for mental health visits using audio-only technology |
| G0 (Zero) | Telehealth services furnished for purposes of diagnosis, evaluation, or treatment of symptoms of an acute stroke. Modifier G0 is valid for: Telehealth distant site codes billed with place of service (POS) code 02; or Critical access hospitals, CAH method II (revenue codes 096X, 097X, or 098X); or Telehealth originating site facility fee, billed with HCPCS code Q3014. |
| GQ | Telehealth service rendered via asynchronous telecommunications system. Asynchronous ‘store and forward’ technology is permitted only in federal telemedicine demonstration programs in Alaska or Hawaii. |
| GT | Via interactive audio and video telecommunication systems. Note: The GT modifier is only allowed on institutional claims billed by CAH Method II providers. |