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Blue Cross Blue Shield of Rhode IslandAll Plans · Billing Codes · Physician / Behavioral Health · RIHigh impact

Telemedicine Modifier - Claims Edit Effective 9/1/26

Act
by Sep 1, 2026
Effective date
Sep 1, 2026
Identified
Jun 19, 2026

Summary

Effective September 1, 2026, claims with telemedicine modifiers (93, 95, FQ, or GT) must use place of service codes 02 or 10 only. Claims mixing telemedicine modifiers with in-office place of service codes will be automatically denied.

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What to do

by Sep 1, 2026 · 4 steps
01Billing team must update system edits to ensure telemedicine modifiers 93, 95, FQ, and GT are only used with place of service codes 02 or 10.
02Update billing software validation rules and train staff on proper telemedicine billing.
03Remove any workflows that combine telemedicine modifiers with in-office place of service codes.
04Claims violating this rule will be automatically denied.

Codes mentioned

9395FQGT0210

Original notice

Telemedicine Modifier - Claims Edit Effective 9/1/26
bcbsri.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross Blue Shield of Rhode Island changes →
Telemedicine modifier – Claims edit effective September 1, 2026HighEffective Sep 1, 2026 · Physician / Behavioral HealthTelemedicine Modifier - Claims Edit Effective September 1, 2026HighEffective Sep 1, 2026 · Physician / Behavioral HealthPayment policy updatesHighEffective Sep 1, 2026 · Provider UpdateTelemedicine Modifier - Claims Edit Effective 9/1/26HighEffective Sep 1, 2026 · Physician / Behavioral HealthBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list

Related policy hubs

Blue Cross Blue Shield of Rhode Island policiesRI policy changesCode 93Code 95Code FQCode GTCode 02Code 10

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