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Specifically, after the conclusion of the COVID-19 PHE, which ended on May 11, 2023, CMS stated in section 30.5 of Chapter 39 of the Medicare Claims Processing Manual that we expect OTPs to add Modifier 93 (Synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system) to the claim for counseling and therapy provided via audio-only telecommunications using HCPCS code G2080, as well as for intake activities and periodic assessments furnished using audio-only communication technology. We also stated that we expect OTPs to add Modifier 95 (Synchronous Telemedicine Service Rendered via Real-Time Interactive Audio and Video Telecommunications System) to the claim for counseling and therapy provided via audio-video telecommunications using HCPCS code G2080, as well as for intake activities and periodic assessments furnished using audio and video communication technology. Thus, OTPs should append Modifier 93 to claims for OUD treatment services furnished via telecommunications, including for audio-only periodic assessments