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. 2022 Apr 19;28(4):457–466. doi: 10.1089/tmj.2021.0216

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.