Which modality is most consistent with modifier 5902?

• A. Real-time Video Counseling
• B. Store-and-Forward Counseling
• C. Audio-Only Telehealth
• D. Written Communication

Answer: (A)

Modifier 5902 denotes a real-time video telecommunication encounter, meaning the session occurs with both clinician and patient engaging via live video and audio at the same time. This synchronous modality allows the practitioner to observe facial expressions, eye contact, and other nonverbal cues, adjust techniques in real time, and provide immediate feedback, which is essential for effective counseling. It is the best match because it requires live interaction; other options are asynchronous or lack a visual component—store-and-forward involves information sent and reviewed later, audio-only telehealth uses telephone without video, and written communication relies on text exchanges. Real-time video thus provides the immediate, interactive contact that this modifier is designed to indicate.