What does modifier 5902 indicate in telehealth coding?

• A. Video Counseling Telehealth Modifier
• B. In-Person Counseling Modifier
• C. Audio-Only Telehealth Modifier
• D. Online Education Modifier

Answer: (A)

Modifiers convey how a service was delivered, and this number specifically identifies video counseling delivered through telehealth. Using this modifier tells the payer that the encounter occurred in real time with video, allowing the clinician to observe nonverbal cues, establish rapport, and perform counseling in a manner similar to an in-person visit while still using telecommunication. This distinction matters for reimbursement because payments can differ based on modality; video telehealth is treated differently than in-person care or audio-only encounters, and it also differs from offerings like online education. In short, the modifier flags that the counseling session was conducted via video telehealth, not face-to-face, audio-only, or online education. Always check the payer’s guidelines, as requirements can vary by plan.