Modifier 95
Modifier 95: Synchronous telemedicine service
Modifier Code
95
Code Type
Billing modifier
When to Use Modifier 95
Append modifier 95 when the therapy session is delivered via real-time audio-video technology (e.g., video call). The service must be synchronous — pre-recorded or asynchronous communications do not qualify. Many payers require this modifier to process telehealth claims under standard reimbursement rates.
CPT Codes Commonly Paired with Modifier 95
These CPT codes are frequently billed alongside modifier 95 in therapy practice:
Superbill Notes for Modifier 95
What to include: Include the platform or technology used (e.g., HIPAA-compliant video) and confirm the patient's location at time of service. Note the synchronous nature of the session in the visit documentation.
Adding Modifier 95 to a Superbill
Superbilled lets you add modifier codes directly to each line item on your superbill. When generating a superbill with modifier 95, make sure to include your NPI number, the patient's diagnosis code, date of service, fee charged, and amount paid. The modifier appears alongside the CPT code on the claim.