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ing to CMS policy, 3D rendering with interpretation and reporting of CT, MRI, US, or other tomographic modality (76376, 76377), requires an approved secondary diagnosis. A qualifying procedure for the 3D rendering should also be included on the same date of service, or in the previous three days.
We may ask you to submit clinical records before we pay a claim if the claim includes: A code appended with Modifier 22 (unusual procedural service). For example, we may request an operative report for surgical procedures or office notes for non surgical procedures.
GT is the modifier that is most commonly used for telehealth claims.
○ For 2023, continue billing telehealth claims with the POS indicator youd bill for an in-person visit. You must use Modifier 95 to identify them as telehealth through December 31, 2023.
Modifier 25 is used with Evaluation and Management codes and cannot be billed with surgical codes. Medical records must reflect appropriate use of the modifier. Providers must use modifier 25 to describe circumstances in which an acute care E/M visit was provided at the same time as a checkup.
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The short description for G0179 is MD recertification HHA PT and can only be claimed once every 60 days unless the patient starts a new episode within 60 days, but this is rare. Otherwise, it is only used once per certification period. G0179 includes time for contact with the HHA and review of patient status reports.
When a provider reports modifier GT or 95, it certifies the patient received services via an audiovisual telecommunications system. Click herefor more information about our telemedicine liberalization in response to the Coronavirus COVID-19 outbreak.
CPT Telemedicine Codes Modifier 95 indicates a synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system.

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