Professional providers: Use POS 02 and 10 for virtual care services starting Jan. 1, 2024

To align with changes made by the Center for Medicare and Medicaid Services (CMS), we’re updating our virtual care billing guidelines for professional providers.

Beginning Jan. 1, 2024, professional providers will use the following place of service (POS) codes for virtual care services for our commercial members, along with the appropriate modifier:

• 02: Telehealth provided other than in patient’s home
• 10: Telehealth provided in the patient’s home

This update is a shift back to pre-COVID-19 public health emergency billing guidelines for POS. There will be a grace period, until Feb. 1, 2024, to allow you to update your billing practices.

Virtual care billing guidelines for facilities – which align with CMS for reporting of revenue codes, HCPCS and modifier use – won’t change. For more information on virtual care billing, including billing guidelines for Medicare and Medicaid, see our Provider Manual.