Place of Service 02 in Medical Billing:
Place of Service 02 is also known as POS 02 in medical billing. When the services performed through telecommunication system, then it is indicated by using place of service 02.
POS 02 is indicated, when the method of delivering the medical services to the patient using telecommunication system.
Let us see the definition of Telehealth in order to understand the usage of place of service 02 in medical billing.
Telehealth: For enhancing the patient health condition, medical information is exchanged via electronic system from one place to another place and this is called as Teleheath or Telemedicine services. Getting reimbursed for telehealth services is little complicated, because the reimbursement guidelines for telehealth services vary based on the insurances.
We need to meet and follow the below guidelines for Medicare, before reporting the place of service 02:
Does modifier GT required on professional claims for Medicare, when we use place of service 02?
Answer: Do not use modifier GT, it’s no longer required on professional claims when reported with place of service 02 for Medicare. Only the place of service 02 is indicated for reimbursement of professional claims from Medicare for Telehealth services.
Assume you have met all the general guidelines and requirement for telemedicine (For example, one of the important is patient not in home or patient place of employment and they are located at the qualified originating site and provider is a qualified distant site provider), then you bill the claim same as you would for a face to face service and with place of service 02 (For commercial insurance you use modifier 95).
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