Table 1.
Medicare Billing: Place of Service, Modifiers, and Frequency
MEDICARE | PRE-COVID-19 PHE | DURING COVID-19 PHE |
---|---|---|
Telehealth | Use POS (02) telehealth No modifier Billing frequency limitations Inpatient hospital subsequent care, once every 3 days Inpatient critical care, once per day Inpatient SNF subsequent care, once every 30 days |
Indicate POS where the service would have been furnished in-person (e.g., office POS 11, ED POS 23, inpatient POS 21) Use modifier 95 Billing frequency limitations removed for inpatient critical care and hospital/SNF subsequent care |
Virtual check-ins, e-visits, RPM | Use POS where the patient is located No modifier |
No change |
State Medicaid programs and private payer policies and guidance on telehealth and other types of technology-enabled services can be found on their respective websites.
ED, emergency department; PHE, public health emergency; POS, place of service; RPM, remote patient monitoring; SNF, skilled nursing facility.