What is “the 95 modifier used for” in medical billing?

The 95 Modifier in Medical Billing

The 95 modifier is used to indicate that a service was provided through telehealth, in compliance with applicable telemedicine regulations.

The 95 Modifier in Medical Billing Explained

In medical billing, the 95 modifier is attached to procedure codes to show that the service was delivered via telemedicine. This ensures that the claim is processed correctly for reimbursement based on telehealth guidelines.

For example, a provider uses the 95 modifier when billing for a virtual patient consultation.

Discover common acronyms and abbreviations in Medical billing glossary.

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