How to code telehealth sessions for Humana specifically
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I am contracted to get the same reimbursement rate for telehealth sessions as office visits for 90837 coded sessions with Humana. However, I am getting reimbursed at a lower rate and I'm wondering if anyone out there knows exactly how Humana wants those sessions coded? I am waiting to hear back from them but their turnaround time is.... inefficient! I have coded place of service with a 2 for telehealth and have added the 95 modifier... I am getting reimbursed lower by using this method. Should I be using the GT modifier instead? Thanks!

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    Gillian

    Hi Christy, we'd love to know if you received any additional information from Humana on how to code Telehealth sessions.

    Because payers require different information on claims depending on state, payer, and plan, the SimplePractice team isn't able to advise on which CPT code, Place of Service, and modifier codes to use when submitting claims to various payers.

    Hi Christy, we'd love to know if you received any additional information from Humana on how to code Telehealth sessions.

    Because payers require different information on claims depending on state, payer, and plan, the SimplePractice team isn't able to advise on which CPT code, Place of Service, and modifier codes to use when submitting claims to various payers.