MedicaidBilling CodesMedium impact
HCBSPAP255 - Use of Modifiers - Added 95 modifier to Telehealth Services
Blue Cross of Idaho·ID·Medical Policy
Effective date
Mar 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho added modifier 95 for synchronous telemedicine services rendered via real-time interactive audio and video telecommunications systems to their telehealth billing guidelines. This modifier joins existing telehealth modifiers GQ and GT for different types of telehealth service delivery.
Action Required
By March 1, 2025: Billing team must update billing system to include modifier 95 for synchronous telemedicine services using real-time audio and video. Update encounter forms and EMR templates to include all three telehealth modifiers (95, GT, GQ) with clear descriptions. Train providers on proper modifier selection for different telehealth service types.