AMA CPT® Assistant - 2017 Issue 10 (October)
Telemedicine Services Modifier 95 (October 2017)
October 2017 pages 5-6 Telemedicine Services Modifier 95 This article discusses a newly established modifier in the Current Procedural Terminology (CPT®) 2017 code set that is designed to identify synchronous telemedicine services. These are services performed in real-time using interactive audio and video communication technology that differ from asynchronous services, which are not performed in real-time. These are the opposite of asynchronous services, which are designed to store and then forward health and patient data (eg, laboratory results, images, videos, records) between health care providers and their patients. Previously, only a Centers for Medicare & Medicaid Services (CMS)...
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Article Overview
This article reviews the introduction of CPT modifier 95 in the 2017 CPT code set and explains how it relates to telemedicine reporting terminology used by CMS and other payers. It also covers the associated CPT update materials, including the star symbol, Appendix P, and examples showing the kinds of services discussed in the guidance. The article is intended for coding professionals, billers, and clinicians who need to understand the general scope of telemedicine reporting updates.
Why This Topic Matters
It helps readers recognize the 2017 telemedicine reporting update, understand how it is positioned across payer settings, and identify the CPT resources tied to the new modifier.
Article Sections
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October 2017 pages 5-6
Publication page reference and article context.
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Telemedicine Services Modifier 95
Overview of the CPT telemedicine modifier update, its relationship to CMS terminology, and the related 2017 CPT coding resources.
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Health and Behavior Assessment/Intervention
An example section discussing a telemedicine reporting scenario within this service category.
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Established Patient
An example section discussing telemedicine reporting in an established patient evaluation and management setting.
What You Will Learn
- The general purpose of the 2017 CPT telemedicine modifier update
- How the article frames CPT and CMS terminology related to telemedicine
- What supporting CPT reference materials are mentioned in connection with telemedicine reporting
- The types of service examples used to illustrate the topic
Who Should Read This
- Medical coders
- Billing professionals
- Compliance staff
- Physicians and qualified health care professionals
Codes Discussed
Modifiers Discussed
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