COVID-19: Frequently Asked Questions

Below are some of the most frequently asked questions CMA has received during the COVID-19 outbreak. By default, the most recent answers will appear up top. You can also filter the FAQ by category. We will update this resource regularly.

More questions? Email communications@cmadocs.org.

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How should physicians bill for inpatient telehealth services?

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For Medicare, the physician should report the place of service (POS) code that would have been reported had the service been furnished in person. Modifier 95 should be applied to claim lines that describe services furnished via telehealth. These billing changes only apply to professional fees, and there are no changes to institutional or facility fees.

For Medi-Cal fee-for-service, Medi-Cal managed care and plans licensed by the Department of Managed Health Care (DMHC), physicians should bill using place of service (POS) code 02, as well as modifier 95 for synchronous telehealth or modifier GQ for asynchronous telehealth, along with the regular CPT or HCPCS code that would correspond to the visit being done in-person. Other payors may have their own requirements.

| Categories: Hospital and Medical Staff, Telehealth | Return

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