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  1. Telehealth Service Modifiers - Novitas Solutions

    Telehealth modifier defined as "synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system." RHCs and FQHCs can report either modifier …

  2. How to Bill CMS Modifier 93 for Audio-Only Telehealth

    Apr 1, 2026 · Modifier 93 is a billing code that tells Medicare and other payers a service was delivered through live, audio-only communication, meaning a real-time phone call with no video component.

  3. How to Code for Telehealth, Audio-Only, and Virtual-Digital Visits

    Append CPT modifier 93 to services provided via audio-only. Federally qualified health centers and rural health centers should use modifier FQ, 93, or both where appropriate and true, since...

  4. UnitedHealthcare aligns with the AMA and will consider for reimbursement the services included in Appendix T of the CPT code set, which are appropriate for reporting real-time, interactive audio-only …

  5. Billing and coding Medicare Fee-for-Service claims - HHS.gov

    Jan 17, 2025 · You are required to use the following modifiers when billing for these services: CPT modifier “93” and/or Medicare modifier “FQ” for Federally Qualified Health Centers and Rural Health …

  6. Telehealth Modifiers 2025: The Ultimate Billing Guide

    Nov 20, 2025 · Modifier 93 is used when the entire visit occurs by telephone with no video. Modifier 93 for telehealth is common in behavioural health and for patients who cannot use video.

  7. Telehealth CPT Codes (2025–2026): Updated List with Modifiers

    Jul 15, 2025 · Modifier 93 identifies services provided via audio-only communication, such as phone consultations. It is required by Medicare and many other payers to distinguish these visits from video …

  8. Modifier 93 vs 95 Billing Rules You Need to Know in 2026

    Jan 22, 2026 · Modifier 93 identifies synchronous telehealth services delivered through real-time audio-only communication. This modifier applies when a provider and patient interact using a telephone or …

  9. CPT® Code 93 - Provider Services and Ambulatory Service Center

    Append modifier 93 to indicate a service rendered to a patient used audio–only technology. The technology allows for real–time (synchronous) interaction between the provider and patient.

  10. Modifiers - JE Part B - Noridian

    Drugs that fall under this category must be billed with the JA modifier for the intravenous infusion of the drug or billed with the JB modifier for the subcutaneous injection form of administration.