Please read carefully.

During a portion of my webinar last evening I reviewed last week’s changes to Telehealth Services. From some of the questions, I felt it necessary to obtain further clarification, so I consulted with my dear friend and coding expert, Dr. Jeffrey Lehrman.

Q: Where can we go to read through the 3/30 guidelines (changes to Telehealth Services)?

A: The 3/30 guidelines came out of The Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rule ( This link is also at the bottom of

Q: Telehealth Service Option 2 is pretty clear (use code G2012 for Brief communication technology-based service (e.g., virtual check-in) by a physician or other qualified health-care professional who can report evaluation and management services, provided to a new or established patient, not originating from a related E/M service provided within the previous seven days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5–10 minutes of medical discussion. It can be any type of telecommunication tool, including telephone. This does NOT require a modifier, but which POS should be used? 

A: Use POS 02 

Q: For Option 3 (Telephone Call) I wasn’t able to find codes 99441, 99442 or 99443 in the physician lookup tool through Where can we find them? AND, Which POS should be used with these codes and is a modifier required?  A #1: To find the fees associated with these codes, you go to the individual MAC website and click “Fee Schedules”.  For example, here is the Novitas link:

A #2: POS 02 with no modifier

Q: For Option 4 (e-visits; which can be performed via EHR/patient portal, text messaging, email, etc.) What is the POS and modifier? 

A: POS 02 with no modifier

Q: Can you clarify the reason for using the 95-modifier only for option 1 (Billing regular E/M codes appropriate for the POS where the patient would have been seen; (example 99213 POS 11 (office)? 

A: The 95-modifier is only used for services performed remotely that are ordinarily performed face-to-face.  So that’s why it only goes on option #1.  Because those codes are normally for face-to-face services.  For the others, telephone is normally telephone, etc. so the modifier is not needed.

Q: Is Medicare now covering all of these options for established AND new patients? 

A: Yes

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