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.

  1. 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 evaluation and management (E/M) codes with the modifier 95 appended and the place of service (POS) code that would have been reported had the service been furnished in person.
  2. A visit performed using audio-only technology should be billed with telephonic evaluation and management codes (99441-99443), though these will no longer be accepted for the PAF program effective July 1, 2020.