Web Reference: May 8, 2017 · Modifiers GT (Via interactive audio and video) and GQ (Via an asynchronous telecommunications system) apply only when reporting telehealth services. Apr 3, 2020 · GQ Modifier GQ is an option for certain situations where asynchronous telemedicine would be appropriate. Per the AMA, GQ means, “Via an asynchronous telecommunications system.” Asynchronous telemedicine means that medical care was provided via image and video that was not provided in real-time. Apr 1, 2020 · In cases when a telehealth service is furnished via asynchronous (store and forward) technology as part of a federal telemedicine demonstration project in Alaska and Hawaii, the GQ modifier is required. When a telehealth service is billed under CAH Method II, the GT modifier is required.
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Last Updated: April 23, 2026
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