When submitting telehealth insurance claims, therapists must accurately use coding modifications to ensure reimbursement. Specifically, using CPT codes such as 90837, 90834, and 90791 requires special modifiers to denote that the service was delivered via telehealth. The most common modifiers are 95, which indicates that the service was provided via real-time audio and video technology, and GT, which signifies that the service was provided via an interactive audio and video telecommunications system.
It's crucial to check with your payers, as different insurance companies may have specific requirements for what modifiers to use. Submitting claims without the correct modifiers can lead to denials, delaying patient care and revenue. For effective practice, ensure your documentation clearly reflects the use of these coding modifications.
For guidance on best practices in therapy, consider consulting with licensed behavioral health specialists at Therapy in Bloom. Additionally, you can access the National Institute of Mental Health (NIMH) clinical psychotherapy guidelines for more information on psychotherapy procedures and billing practices.