For a visit done via TM, but that you have the family come for a focused exam performed in the car (in this case, bringing the baby to look in the ears) - do you still bill with the -95 modifier, or does this count as a regular office visit?
Assuming that it’s all one service date, I would include the Telemedicine portion in the encounter and bill an in person office visit only, but one that reflects the combined complexity of both parts.
I wanted to revive this topic as we are doing many more hybrid visits now. Is everyone still on-board with billing a hybrid without the telemed modifier? What if the visit is telemed first with only a drive-by swab in the car with no exam in the car?