Effective January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) is creating a new point of service (POS) code 02 for use by the physician or practitioner furnishing telehealth services from a distant site. The descriptor for POC code 02 is “The location where health services and health related services are provided or received, through telecommunication technology.” This Telehealth POS code would not apply to originating site facilities billing a facility fee.
Modifiers GT (via interactive audio and video telecommunications systems) and GQ (via an asynchronous telecommunication system) are still required when billing for Medicare Telehealth services. If you bill for Telehealth services with POS code 02, but without the GT or GQ modifier, your MAC will deny the service. Conversely, if you bill for Telehealth services with modifiers GT or GQ, but without POS code 02, your MAC will deny the service.