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Telehealth Psychological services (video and audio) Add the modifier -95 to the E&M code and use place of service (location code) 02Д©6150 вЂ“ 96152 Individual health and behavior assessment and intervention 90832 вЂ“ 90838 Individual psychotherapy 90791 вЂ“ 90792 Psychiatric diagnostic interview examination 96116 Neurobehavioral status examination Physical Medicine and Rehabilitation *As listed in CO DOWC Rule 16-2(N), page 4 *As listed in CO DOWC Rule 16-2(N), page 4 Psychiatric Psychological Services

No modifier is required.Д©8966 5 вЂ“ 10 minutes of medical discussion with a non-physician practitioner* 98967 11 вЂ“ 20 minutes of medical discussion with a non-physician practitioner 98968 21 вЂ“ 30 minutes of medical discussion with a non-physician practitioner Non-physician practitioners: Telephone E&M services (audio only) Use the appropriate place of service code. No modifier is required.Д©9441 5 вЂ“ 10 minutes of medical discussion with a physician* 99442 11 вЂ“ 20 minutes of medical discussion with a physician 99443 21 вЂ“ 30 minutes of medical discussion with a physician Physicians: Telephone E&M services (audio only) Use the appropriate place of service code. Telehealth E&M services (video and audio) Add the modifier -95 to the E&M code and use place of service (location code) 02Д©9201 вЂ“ 99215 Office or other outpatient visits 99241 вЂ“ 99245Дњonsultations The fee schedule is substantially lower utilizing phone services only. If telehealth (video and audio) is utilized, refer to the E&M codes under telehealth below. If telephone services are utilized, the coding is based on time and is not considered telehealth.

Payment for telehealth services is based on the non-facility RBRVS unit value for the CPT code multiplied by the appropriate conversion factor, but the additional $5.00 transmission fee is not payable.

Payment for services is based on the lesser of the CO DOWC Fee Schedule or the billed amount minus any contractual discounts, if applicable. We support and encourage you to provide care for new and established patients through any means (telephone, video or in person), from any location (home or office) and at any time, as long as the care is clinically appropriate, properly documented and follows appropriate billing procedures.