Can the practitioner assessment form (PAF) (CPT code 96160) be done via telehealth and can it be done using real-time interactive audio only?
ANSWER: Effective July 1, 2020, Humana will no longer accept PAFs completed during a visit using real-time interactive audio-only technology but will continue to accept visits conducted using a real-time interactive audio and video telecommunications system.
- To indicate that a PAF telehealth visit was performed using a real-time interactive audio and video telecommunications system, CPT® code 96160 should be billed in conjunction with one of the PAF program-approved E/M codes with the modifier 95 appended and the POS code that would have been reported had the service been furnished in person.
- A visit performed using audio-only technology should be billed with E/M codes (99441─99443), though these will no longer be accepted for the PAF program, effective July 1, 2020.