CMS Clarifies Modifiers for E-Visits and Telephone Services
On June 1, 2020, the Centers for Medicare and Medicaid Services clarified whether or not the CR modifier must be appended to the Communication Technology Based-Services (CTBS) codes and Healthcare Common Procedure Coding System (HCPCS) Level II codes. In addition, CMS clarified whether or not Condition Code DR is required to be used on the UB-04 claim form submitted by institutional providers when billing one of the CTBS codes.
Question
What CPT and HCPCS Level II codes are considered CTBS codes?
Answer
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Question
Is the CR Modifier required to be appended to the CTBS code(s) on the claim form?
Answer
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Question
Is the DR Condition code required on institutional claims when the claim form contains a CTBS code(s)?
Answer
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Question
What modifier(s) are required when billing one of the CTBS codes to my Medicare Administrative Contractor?
Answer
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Question
Would the CQ or CO modifier be required if the CTBS service was provided by a physical therapist assistant (PTA) or occupational therapy assistant (OTA) respectively?
Answer
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