Skip to Main Content

New POS Code for Telehealth Distant Site Providers [Ober|Kaler]

Health Law Alert

A new Place of Services or POS code for Telehealth services (POS 02) will go into effect on January 1, 2017. The descriptor for the code, which is for use by the physician or other clinician furnishing telehealth services from a distant site, is as follows, “The location where health services and health related services are provided or received, through telecommunication technology.” MLN Matters MM9726 [PDF]. Use of the new code does not impact the requirement for GT or GQ modifiers; they are still required. Claims for telehealth billed without the new POS and the applicable GT or GQ modifier will be denied. The code does not apply to the billing originating site, i.e., the site where the patient is located, and, in effect, CMS will not have information as to the patient’s location or any details regarding the originating site. Potentially this focus on the distant site provider v. the originating site could forecast more flexibility within Medicare’s policies as to what sites may qualify as originating sites. Only time will tell. 

Email Disclaimer

NOTICE: The mailing of this email is not intended to create, and receipt of it does not constitute an attorney-client relationship. Anything that you send to anyone at our Firm will not be confidential or privileged unless we have agreed to represent you. If you send this email, you confirm that you have read and understand this notice.
Cancel Accept