The Louisiana Department of Health (LDH) revised the COVID-19 Informational Bulletin 20-5 on May 6, 2022.
Place of service code requirement changes
In addition to providing a CPT® code, all therapy providers must indicate the appropriate place of service, 02 (other than home) or 10 (home), based on the beneficiary’s location at the time of service. Providers must also append modifier 95. Services delivered via an audio/video system and via an audio-only system are to be coded this same way.
The Louisiana Medicaid fee-for-service (FFS) claim processing system is being updated to allow the appropriate teletherapy place of service code, 02 (other than home) or 10 (home), based on the beneficiary’s location at the time of service in addition to the procedure modifier 95.
FQHC and RHC
Non-Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) providers must indicate the appropriate place of service.
Outpatient hospital facilities
For telehealth at outpatient hospital facility the place of service 02 (other than home) or 10 (home) telehealth guidance for professional claims does not apply for telehealth billing on the UB 04 Form.
When coding for normal Early and Periodic Screening, Diagnostic and Treatment (EPSDT) preventive services, code by age (99381- 99385, 99391-99395) and include:
When submitting secondary claims (Third Party Liability – TPL) for telehealth, Gainwell Technologies will allow the secondary claims and encounters if:
Place of service 02 (other than home) or 10 (home) will not be required for these claims. This instruction also applies to MCOs.
Call Provider Services at 866-675-1607, 7 a.m. – 7 p.m., Monday – Friday.