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Avera Health Plan Telehealth Policy PT and OT
Expanded telehealth codes, includes PT/OT/SLP, will be permitted during the period March 17-June 30. Expansion period will be evaluated in early June for potential extension, and code list may be subject to additional updates
Providers will be expected to follow all normal CPT coding and billing guidelines inclusive of complete medical record documentation. The record should document the means by which the telehealth service was provided and billed with place of service (POS) code 02. Providers who have the capability to deliver telehealth using HIPAA compliant, real-time interactive audio-video technology may append those services with modifier 95 although it will not be required.