Sara, thank you for your response, but 02 will not work with insurer as it refers to being OUTSIDE of a person's home. Please see below from CMS.gov
02 Telehealth Provided Other than in Patient’s Home
The location where health services and health related services are provided or received, through telecommunication technology. Patient is not located in their home when receiving health services or health related services through telecommunication technology.
(Effective January 1, 2017)
(Description change effective January 1, 2022, and applicable for Medicare April 1, 2022.)
I know SP offers "99" as other not listed.
However, insurer is requesting a Superbill with "95" as the POS
I found this from Chiron on internet
Modifier 95 is a fairly new modifier and used only when billing to private payers to indicate services were rendered via synchronous telecommunication.
It is important to note that Medicare and Medicaid do not recognize modifier 95. As with the GT modifier, not all payers recognize modifier 95.
Can we just edit to include this option? Maybe add an asterisk to inform not CMS approved?
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