Change Request (CR) 10152 eliminates the requirement to use the GT modifier (via interactive
audio and video telecommunications systems) on professional claims for telehealth services.
Use of the telehealth Place of Service (POS) Code 02 certifies that the service meets the
Anesthesia services furnished in conjunction with and in support of a screening colonoscopy are reported with CPT code 00812.
Effective for claims with dates of service on or after January 1, 2018, Medicare will pay claim lines with new CPT code 00812 and
waive the deductible and coinsurance.
For claims with Dates of Services January 1 2018, prolong preventive services will be payable by Medicare when billed with an add-on to an applicable preventive services that is payable from the MPFS and cost share will be waived. G0513 and G0514 for prolonged preventive services will be added as part of this update and cost-share will be waived.
New Provider Course: Exercise Therapy as an Alternative to Opioids for Chronic Mechanical Low Back Pain
To ensure timely payment of claims, please remember to provide documentation of start and end times when billing for time based codes. Claims that come in without this documentation will be denied.