The Centers for Medicare and Medicaid Services (CMS) has instituted a new place of service (POS) code related to telehealth services, as well as revised the description of the existing POS code 02, and Harvard Pilgrim has updated our billing requirements related to commercial and StrideSM (HMO) Medicare Advantage members to reflect these changes.
These updates to telehealth POS coding are intended to better meet overall industry needs through greater specificity. Going forward, POS 02 will be used to report telehealth services rendered in a location other than the patient’s home, whereas POS 10 will denote telehealth services rendered in the patient’s home. The updated/new descriptions are as follows:
POS 02: Telehealth Provided Other than in Patient’s Home
The location where health services and health related services are provided or received, through telecommunication technology. Patient is not located in their home when receiving health services or health related services through telecommunication technology.
POS 10: Telehealth Provided in Patient’s Home
The location where health services and health related services are provided or received through telecommunication technology. Patient is located in their home (which is a location other than a hospital or other facility where the patient receives care in a private residence) when receiving health services or health related services through telecommunication technology.
For correct coding, please report all telemedicine/telehealth claims with either POS 02 or POS 10, depending on the setting in which the visit was conducted.
New telemedicine/telehealth modifiers
CMS has also developed the following new modifiers, which are now available:
- FQ – The service was furnished using audio-only communication technology
- FR – The supervising practitioner was present through two-way, audio/video communication technology
To promote further specificity and paint a more accurate picture of the telehealth encounter, you can supplement POS 02 or POS 10 with the appropriate modifier.
For more information, please refer to Harvard Pilgrim’s updated Interim Telemedicine/Telehealth Payment Policy (COVID-19 Pandemic).
Editor’s note 1/7/2022: Article updated for clarification on use of POS 02 and POS 10 in claims.
Director, Provider Relations & Communications