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Aetna Telehealth Policy PT and OT

Update: 4/17/2020

Aetna will cover the telehealth-based delivery of the services and procedures by PTs for CPT codes 97161, 97162, 97163, 97164, 97110, 97112, 97116, 97535, 97755, 97760, and 97761. The telehealth care must be provided as a two-way synchronous (real-time) audiovisual service. Providers are required to append the GT modifier to the codes.

Aetna advised that telehealth services delivered by physical therapists may be billed on a UB04 using the modifier GT or 95.

Aetna’s telemedicine policy is available to providers on the NaviNet and Availity portals.

Reference

https://www.aetna.com/health-care-professionals/provider-education-manuals/covid-faq/telemedicine.html

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