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How to : Telehealth When The Place of Service Needs to be "11"

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  • Junko Davis

    Hello, 

    I was searching for some insights on what modifier to use for telephonic sessions (audio only) and came across your post. My post is not to provide you any help (I'm sorry! I don't know the answer. You might have already done it but I'd suggest you email and ask SP support. Hope you were able to find some help by now!) but I wanted to make a comment.

    We use "02" for a POS code with a 95 modifier for telehealth appointments and so far all of the claims with different BCBS plans have been paid with the same reimbursement rate as in-office visits as long as that is the client's policy. We are in GA and we submit claims to our local BCBS. Our providers are licensed professional counselors. This might have to do with what state you are in. 

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