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Telemedicine Modifier - Claims Edit Effective 9/1/26
Blue Cross Blue Shield of Rhode Island·RI·Physician / Behavioral Health
Effective date
Sep 1, 2026
We identified it
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.
Action Required
By September 1, 2026: Billing 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. Update billing software validation rules and train staff on proper telemedicine billing. Remove any workflows that combine telemedicine modifiers with in-office place of service codes. Claims violating this rule will be automatically denied.