Medicare telehealth coding for 2024
Tuesday, December 19, 2023
Posted by: Adam Linn
For private practice billing to Medicare for telehealth services, there will be some coding changes starting on Jan. 1, 2024. It will be important to follow these guidelines in order to receive accurate reimbursement. - For 2023, continue billing telehealth claims with the 11 POS indicator you would bill for an in-person visit. You must use Modifier 95 to identify as telehealth through December 31, 2023.
- After December 31, 2023, use POS 10 for telehealth services when the client is in their home, or any place other than a hospital or facility.
- Note that POS 02 is intended for telehealth when client is located at a hospital or facility, and payment would be at the lower facility rate.
- After December 31, 2023, there will be no telehealth modifier required for video sessions. For audio-only sessions, use modifier 93.
There will not be any further changes for Medicare telehealth through 2024. There is some possibility of requirements for periodic in-person visits in future, but that would be for 2025 at the earliest.
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