Insurance Billing Code for Telehealth (2)

Insurance Billing Code for Telehealth

50
2

TBHI is delighted to be launching a series of Q&A from our audiences. In this blog, then interspersed with our other news and features, we’ll post a question obtained from one of our Trainees. One such question will be drawn and answered regularly. While we can’t answer each question individually, we will try our very best to respond to all your queries. Send us your questions/enquiry/concerns by dropping an email here.

Is there an insurance billing code for telehealth?

Yes, there actually are a large number of CPT billing codes that are specific to telehealth as well as a fairly extensive list that are specific to telebehavioral health. When you are ready to start delivering telebehavioral or any other kind of telehealth, ask the insurance carrier to approve you for telehealth sessions prior to delivering sessions. When billing, know which modifier to use, or not use. Use “-GT” after your normal CPT code if billing the “G” codes. When billing the “9” codes, do not use the modifier. Place of service codes are the digit “2”. Although a nuisance, it is wise to check with each insurer before billing. Once your claim is rejected, it might be too late to re-submit.

How Can I Get Paid More for Telehealth?

Increase your telehealth revenue. Industry leaders explain how, when, and why to use telehealth CPT codes and modifiers.

Disclaimer: The Telebehavioral Health Institute (TBHI Telehealth.org) offers information as educational material designed to inform you of issues, products, or services potentially of interest. We cannot and do not accept liability for your decisions regarding any information offered. Please conduct your due diligence before taking action. Also, the views and opinions expressed are not intended to malign any organization, company, or individual. Product names, logos, brands, and other trademarks or images are the property of their respective trademark holders. There is no affiliation, sponsorship, or partnership suggested by using these brands unless contained in an ad. We do not and cannot offer legal, ethical, billing technical, medical, or therapeutic advice. Use of this site constitutes your agreement to TBHI Privacy Policy and Terms and Conditions.

Subscribe
Notify of
guest
2 Comments
Newest
Oldest Most Voted
Inline Feedbacks
View all comments
A G
A G
5 years ago

When was it no longer necessary to use the GT modifier after the “9” codes? and should the place of service code not be 02 (a 2 digit code)?

Marlene Maheu, Ph. D.
Marlene Maheu, Ph. D.
Reply to  A G
4 years ago

AG,
Thank you for your question. Most third-party carriers do not require the -GT. However, my best suggestion to you is to contact each insurance carrier prior to billing and ask them for their preference. And yes, as of last year, the place of service code is “02”.

2
0
Would love your thoughts, please comment.x