CPT® 2017: Capture Telehealth Pay With New POS and Modifier Labels

Why This Topic Matters

Telehealth reporting depends on using the correct code set, modifier, and place-of-service information, and payers may deny claims when required elements are missing. Understanding the scope of these updates helps practices evaluate whether their documentation and claim submission workflow aligns with current telemedicine reporting expectations.

Article Sections

1. Identify Appropriate Codes

   Covers the 2017 CPT telemedicine code-flagging approach and the types of services included in the telehealth appendix. Also notes the communication characteristics referenced for these services.

2. Use Modifier to Mark Telemedicine

   Explains the new CPT telemedicine modifier and discusses its relationship to existing HCPCS Level II telemedicine modifiers. The section also addresses general payer considerations for telemedicine reporting.

3. Mark Proper Telemedicine POS

   Describes the CMS place-of-service update for telehealth claims and the related claim-submission context. It also mentions the need to coordinate telemedicine modifiers with the place-of-service code.

4. Check Existing Telehealth Codes

   Reviews other existing CPT and HCPCS Level II reporting options used for selected telehealth-related services. The section places these codes in the broader context of payer coverage and telemedicine program variation.