Modifier 95 is used for what type of service?

Study for the Current Procedural Terminology (CPT) Modifiers Test. Work through flashcards and multiple-choice questions with hints and explanations for each. Ace your exam with confidence!

Modifier 95 is specifically designated for synchronous telemedicine services, which are real-time interactions between a healthcare provider and a patient using electronic communication tools. This modifier indicates that the service was delivered via a telecommunication system that allows for simultaneous audio and visual interaction, replicating an in-person visit.

The use of this modifier is essential in ensuring that claims for telemedicine services are processed appropriately, similar to how in-person services would be coded. It plays a critical role in extending access to care, especially in circumstances where in-person visits are less feasible due to geographical or physical barriers.

The other answer choices pertain to different scenarios that require specific modifiers but do not apply to synchronous telemedicine. Understanding the proper application of modifier 95 highlights the importance of accurately coding and billing for remote patient care services in the evolving landscape of healthcare.

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