Take a close-up look at telehealth and audio-only billing changes effective Jan. 1, 2022
Revised definition of place of service (POS) code 02 and new POS code 10
The Centers for Medicare & Medicaid Services (CMS) has issued changes to POS codes for use when reporting telehealth services*:
Magellan providers who bill telehealth or audio-only services on an 837p transaction or CMS 1500 form must submit the appropriate telehealth POS code:
New modifier for reporting audio-only services -- FQ modifier
CMS allows some services to be furnished as audio-only when the member does not have access to two-way audio-visual communication technology or did not consent to its use. To review services permitted by CMS to be furnished as audio-only, see Magellan’s telehealth billing instructions at www.MagellanProvider.com/telehealth.
To report audio-only services (this would include services conducted via telephone or secure video teleconferencing platform with video turned off), Magellan providers should bill the FQ audio-only modifier.
Make sure you’re using correct coding for all telehealth services—learn more in our related article.
*Guidance in this article may not apply to all plans (e.g., Pennsylvania HealthChoices). Refer to your contract and state-/plan-specific webpages.