BCBSRI has updated the Temporary Telemedicine/Telehealth and Telephone Services During the COVID-19 Crisis policy regarding required modifiers. For claims filed or on after 1 de outubro, 2020, BCBSRI will require modifier 95 to be appended on all claims filed for services provided via real-time interactive audio and video telecommunications systems. Please continue to file your claims with place of service 02; however, please place modifier 95 in the first modifier position and CR modifier in the second position.

Please note that you should file claims for audio/visual services with modifier 95, regardless of the dates of service on the claim on or after 9 de setembro, 2020. However, BCBSRI will not require the modifier submission for dates of service before 1 de outubro, 2020.

We understand some providers are utilizing modifier 95 today for services provided via audio/visual means, as it is a nationally accepted modifier. If so, there should be no change except that we request that modifier 95 be placed in the first modifier position unless the base service/code you are filing requires a modifier to report the service (e.g., a 26 modifier). In those cases, the 95 modifier would be placed in the second position.

For telephone only telemedicine claims, please continue to file as you do today with place of service 02 and the CR modifier. The absence of modifier 95 will allow BCBSRI to identify services provided via telephone only.

Full details of the policy are available for review here. If you have any questions related to this change, please contact ProviderRelations@bcbsri.org. As always, we appreciate your participation in the BCBSRI network and the services you provide to our members.