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Built for 50%+ Telehealth Practices

Stop Losing Telehealth Revenue to Modifier Confusion

AI that knows telehealth-specific E/M rules — modifiers, POS codes, time documentation, consent flags. The right code for every virtual visit in 10 seconds.

Free 7-day trial. No credit card required.

Zero PHI Storage
10 Seconds Per Note
Dual Time + MDM Codes

Telehealth Billing Has Rules That Trip Up Every Practice

Wrong modifier, wrong POS code, missing consent — each one means a denied claim or reduced payment. And the rules change by payer.

Modifier Confusion: 95 vs GT vs 93

Modifier 95 for synchronous video, GT for some commercial payers, 93 for audio-only. Use the wrong one and the claim is denied. Use none and you leave telehealth-specific reimbursement on the table.

Pre-Visit Time Goes Unbilled

You spend 10-15 minutes reviewing charts before the video call starts. Under 2021 AMA guidelines, that time counts toward total physician time — but most telehealth providers never document it, losing one or two code levels on every visit.

POS Code Errors Tank Reimbursement

POS 10 (patient at home) vs POS 02 (patient at facility) — the wrong place of service code changes your reimbursement rate or triggers a denial. Most EHRs default to the wrong POS for telehealth.

Audio-Only Billing Rules Are a Minefield

Modifier 93 requires an established patient, a documented clinical reason video was not used, and patient consent. Miss any requirement and the claim is rejected. Some payers do not cover audio-only at all.

Three Steps to Telehealth-Accurate E/M Coding

1

Paste Your Telehealth Visit Note

Copy your virtual visit note — including pre-visit review time, synchronous encounter, and post-visit coordination — into CodeItRight.ai. Confirm the HIPAA checkbox. Your note is never stored.

2

AI Extracts MDM, Time, and Telehealth Indicators

Our AI identifies MDM complexity, total qualifying physician time (pre-visit + synchronous + post-visit), visit modality (video, audio-only, or hybrid), place of service, and consent documentation status.

3

See Dual Codes + Telehealth-Specific Flags

Get both time-based and MDM-based E/M codes side by side with the higher code highlighted. Plus: correct modifier recommendation (95, GT, or 93), POS code, audio-only eligibility, consent reminder, and documentation gaps.

Built for the Complexity of Telehealth Billing

Every feature addresses a telehealth-specific coding trap that costs practices thousands per month in denials and underpayments.

Automatic Modifier 95 Detection

Detects synchronous audio-video visits and recommends modifier 95. Flags when GT is required by specific commercial payers. Never submit a telehealth claim without the right modifier again.

Full Time-Based Coding

Counts pre-visit chart review, synchronous encounter time, and post-visit care coordination. Shows when time-based coding beats MDM — which it does on most telehealth visits.

POS Code Recommendation

Automatically recommends POS 10 (patient at home) or POS 02 (patient at facility) based on your documentation. No more defaulting to the wrong place of service.

Audio-Only Eligibility Flagging

Checks all audio-only requirements: established patient, clinical reason for no video, patient consent, and payer coverage. Warns you before you submit a claim that will be denied.

Consent Documentation Reminder

Flags when annual telehealth consent is missing or expired. Many payers require documented patient consent for telehealth — a missing signature means a denied claim.

Dual-Code Display (Time vs MDM)

Shows both coding paths side by side. Time-based coding often wins for telehealth because pre-visit and post-visit work push total time higher than MDM complexity alone suggests.

The Telehealth Revenue You Are Leaving Behind

Telehealth visits with proper time documentation routinely bill 1-2 levels higher than MDM alone. Most providers never capture the pre-visit and post-visit time that qualifies.

$55-90
Per visit gain when coding at the correct level
$550-900/day
10 telehealth visits per day with proper time documentation
$137K-225K/yr
Annual revenue captured per telehealth-heavy physician

Where the money hides: A 25-minute video visit with 10 minutes of pre-visit chart review and 5 minutes of post-visit coordination totals 40 minutes — qualifying for 99215 ($182) instead of the 99213 ($92) that MDM alone would support. That is $90 per visit from time you already spent.

Based on 2024 National Medicare Physician Fee Schedule rates. 250 working days/year. Individual results vary by payer mix, telehealth volume, and documentation quality.

Built for practices where virtual visits are the norm, not the exception

Telehealth-first practices, hybrid clinics, and virtual-only providers use CodeItRight.ai to navigate the complexity of telehealth billing rules.

Telehealth-FirstHybrid PracticesVirtual Primary CareTelepsychiatryRemote MonitoringAudio-Only Visits

Common Questions from Telehealth Providers

What is the difference between modifier 95, GT, and 93 for telehealth billing?
Modifier 95 is used for synchronous real-time audio-video telehealth visits and is the current CMS standard. Modifier GT (via interactive audio and video telecommunications systems) is an older modifier still accepted by some commercial payers. Modifier 93 is specifically for audio-only telephone visits with established patients when there is a documented clinical reason video is not feasible. CodeItRight.ai automatically detects which modifier applies based on your visit documentation.
Does pre-visit chart review count toward time-based E/M coding for telehealth?
Yes. Under AMA 2021 E/M guidelines, total physician time on the date of the encounter includes pre-visit chart review, real-time video or audio interaction, and post-visit care coordination and documentation. Most telehealth providers only document the synchronous visit time and miss 10-20 minutes of qualifying pre-visit and post-visit work that could push the visit to a higher code level.
Should I use POS 10 or POS 02 for telehealth visits?
POS 02 (Telehealth Provided Other than in Patient Home) is used when the patient is at a distant site facility like a clinic or hospital. POS 10 (Telehealth Provided in Patient Home) is used when the patient is at home, which is the most common scenario for modern telehealth. The wrong POS code can result in claim denials or reduced reimbursement rates. CodeItRight.ai recommends the correct POS code based on your documentation.
What are the requirements for billing audio-only telephone visits?
Audio-only visits (CPT 99441-99443 or standard E/M codes with modifier 93) require: (1) the patient must be established, (2) there must be a documented clinical reason why video was not used, (3) patient consent for the audio-only modality, and (4) the visit must meet medical necessity criteria. Many payers also require that a video visit was offered first. CodeItRight.ai flags audio-only eligibility issues before you submit the claim.
Is patient data stored or used for AI training?
No. Clinical notes are processed in-memory and immediately discarded. Nothing is written to any database, logged, or used for model training. Only anonymous coding parameters (code level, MDM elements, time, modifiers) are saved. Zero PHI storage — HIPAA-compliant by design.

Stop Losing $137K/Year to Telehealth Coding Errors.

Paste your telehealth note. See the right E/M code, modifier, and POS in 10 seconds — with time documentation that captures every billable minute.

7-day free trial — full access. No credit card required.

CodeItRight.ai

AI-powered E/M coding and compliance checking for telehealth providers and virtual care practices.

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