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Additionally, for any such professional claim providers must include: modifier 95 to indicate services rendered via audio-video telehealth; To sign up for updates or to access your subscriber preferences, please enter your contact information below. We maintain all current medical necessity review criteria for virtual care at this time. Cost-share is waived when G2012 is billed for COVID-19 related services consistent with our, ICD-10 code Z03.818, Z11.52, Z20.822, or Z20.828, POS 02 and GQ, GT, or 95 modifier for virtual care. lock Update to the telehealth Place of Service (POS) code Telehealth continues to be an integral part of providing safe and convenient health care visits for Medicare Advantage beneficiaries. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Cigna will allow commercial and behavioral providers who are participating with Cigna (and who have up-to-date credentialing) to provide in-person or virtual care in other states to the extent that the scope of the license and state regulations allow such care to take place. Note that billing B97.29 will not waive cost-share. Place of Service (POS) equal to what it would have been had the service been provided in-person. Yes. 3. Cigna may request the appropriate CLIA-certification or waiver as well as the manufacturer and name of the test being performed. 1 In an emergency, always dial 911 or visit the nearest hospital. Cigna covers Remdesivir for the treatment of COVID-19 when administered in inpatient or outpatient settings consistent with EUA usage guidelines and Cigna's Drug and Biologic Coverage Policy. Place of Service Code Set - Home - Centers for Medicare & Medicaid Services Unless your office was approved to be a facility to administer virtual patient care, then it is best to bill using the telehealth code (11) Office. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. We will continue to monitor inpatient stays. Please note that while virtual care services billed on a UB-04 claim will not typically be reimbursed under this policy, we continue to reimburse virtual care services billed on a UB-04 claim form until further notice as a COVID-19 accommodation when the services: Please note that existing reimbursement policies will apply and may affect claims payment (e.g., R30 E&M Services). For dates of service February 4, 2020 through February 15, 2021, Cigna covered COVID-19 treatments without customer cost-share. While we encourage providers to bill virtual care consistent with an office visit and understand that certain services can be time consuming and complex even when provided virtually we strongly encourage providers to be cognizant when billing level four and five codes for virtual services.