Fee Navigator®

    Modifier: TELE

    TELEHEALTH

    This modifier is used to indicate telehealth services.

    AMA billing tips:

    • The TELES modifier may only be claimed when providing services at a regional telehealth site or registered Health Canada Telehealth location. The use of SKYPE or any other secure video transfer system may not be claimed using the TELES modifier. Only services provided using regional or Health Canada telehealth equipment may be claimed using the TELES modifier. The TELES modifier is NOT to be claimed for services provided via telephone.

    Codes:

    Code:Description:
    TELES
    TELEHEALTH
    Explicit

    A Medical consultant (other than a radiologist) may claim the appropriate consultation health service code with modifier TELES when a patient is referred from another physician, audiologist, a midwife, chiropractor, podiatrist, dentist, optometrist, physical therapist or nurse practitioner.

    Referrals from a non-physician other than an audiologist, midwife, chiropractor, podiatrist, dentist, optometrist, physical therapist or nurse practitioner may be claimed under the appropriate non-referred visit health service code.

    A Podiatric Surgeon consultant may claim the appropriate consultation health service code with modifier TELES when a patient is referred from a Medical practitioner, podiatric surgeon or a podiatrist. Referrals from any other source may be claimed under the appropriate non-referred visit health service code.

    Please refer to Governing Rules 17.1, 17.5, and 17.6 for more information.