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MedicaidBilling CodesMedium impact

Telehealth/telemedicine - new modifiers for audio-only services and information on place of service 10 when billing for COVID-19 related services

Washington Apple Health·WA · Psychiatry, Physical Therapy, Occupational Therapy +4 more·Provider Alert
Effective date
Apr 4, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Washington State Medicaid (Apple Health) introduced new modifiers for audio-only telehealth services and implemented new place of service codes (POS 10 for telehealth, revised POS 02) for telemedicine billing. Providers can begin using POS 10 immediately for dates of service from January 1, 2022, with mandatory implementation by April 4, 2022.

Action Required

Action needed
By April 4, 2022: Billing team must update billing system to use new place of service code 10 for HIPAA-compliant telemedicine (audio-visual) and telehealth (audio-only) services. Update system with new audio-only service modifiers per federal guidelines. Review and update telehealth billing procedures using the updated HCA billing guides for specific service types (ABA, behavioral health, clinical, diabetes education, family planning, PT/OT/speech therapy).