What is an HJ modifier?
Asked by: Domenick DuBuque PhD | Last update: November 27, 2025Score: 4.9/5 (5 votes)
What is the HO modifier used for?
The HO modifier is used to identify mental health services provided by professionals holding a Master's degree in a related field, such as psychology, counseling, or social work. It indicates that the services were rendered by a mental health professional with an advanced level of education and training.
What is CPT code 90834 hj?
CPT® code 90834: Psychotherapy, 45 minutes | American Medical Association.
What is the EJ modifier used for?
Billing subsequent injections in a series (EJ modifier)
A series is defined as a set of injections for each joint and each treatment. The EJ modifier must be used with the HCPCS code for the drug administered to indicate subsequent injections of a series.
What is the modifier for the left hand second finger?
FA – Left hand, thumb. F1 – Left hand, second digit. F2 – Left hand, third digit. F3 – Left hand, fourth digit.
What is a Modifier in Medical Coding? CPT and HCPCS Modifiers for Beginners
Which drugs require a jz modifier?
Effective July 1, 2023, providers and suppliers are required to report the JZ modifier on all claims that bill for drugs from single-dose containers that are separately payable under Medicare Part B when there are no discarded amounts.
What is HJ modifier code?
The HJ modifier is used to code Employee Assistance Program (EAP) visits. It is considered the standard for filing EAP claims with most, but not all insurers. This contrasts with other commonly used H codes which are used to describe the level of education of the rendering provider.
What does a KX modifier do?
The KX HCPCS modifier is a signal on a claim that though the patient services have met the threshold of the amount allowed, the provider deems continued care medically necessary.
How do you use a JZ modifier?
The JZ modifier is reported to attest that no amount of drug was discarded. The JW modifier is required to be reported on a claim for the amount of drug that is discarded and eligible for payment.
Can I bill 90837 for 50 minutes?
Time Requirements and Service Criteria for Billing 90837
Code 90837 is for 60-minute therapy sessions, defined as 53 minutes or longer. Anything less than 53 minutes would use code 90834 (45-minute session). For 90837, the actual session time must be documented in your notes. Rounding up or down is not allowed.
How to bill for EMDR?
CPT Code 90834 Is The Most Commonly Used Code For EMDR Sessions. Typically, most therapy sessions are in the 38 to 52-minute range, including EMDR therapy. Sometimes, these sessions extend past that time, so what then? All you need to do is add an extended CPT code to cover this extra time.
What does EAP stand for in billing?
Employee Assistance Program (EAP)
About EAP.
When to use ah modifier?
AH Clinical psychologist Used by LEA to denote licensed psychologists, licensed educational psychologists, credentialed school psychologists and clinical psychologists.
What is the GV modifier for?
The GV modifier is used when a physician is providing a service that is related to the diagnosis for which a patient has been enrolled in hospice.
What is the KE modifier used for?
Since MIPPA mandated a 9.5% fee schedule reduction for items included in Round 1 of the Competitive Bidding Program, the “KE” modifier was used to differentiate wheelchair accessory codes used with both competitive bid and non-competitive bid wheelchair base units.
What is a gy modifier?
GY modifier is added to claims in which the item or service is statutorily excluded, does not meet the definition of any Medicare benefit. Correct Use. Append when services are provided under statutory exclusion from Medicare Program. It is not necessary to provide patient with an ABN for these situations.
What is the CQ modifier?
The modifiers are defined as follows: CQ modifier: Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant. CO modifier: Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant.
What does EJ modifier mean?
Billing subsequent injections in a series (EJ modifier):
Use EJ modifier with the HCPCS code for the drug administered to indicate subsequent injections of a series. Do not use this modifier for the first injection of each series. A series is defined as a set of injections for each joint and each treatment.
What is the JW modifier for?
HCPCS code for drug wasted. JW modifier to indicate waste. Number of units wasted. Calculated submitted price for ONLY the amount of drug wasted.
When to use modifier kx?
Use of the KX modifier indicates that the supplier has ensured coverage criteria for the DMEPOS billed is met and that documentation does exist to support the medical necessity of item.
Does UHC require a JZ modifier?
The modifier should only be used for claims that bill for single-dose container drugs. Effective with date of service October 1, 2023, UnitedHealthcare Medicare Advantage will align with the CMS requirement for reporting of new modifier JZ to indicate “no waste”.
What is a GQ modifier?
HCPCS modifier GQ is used to report services delivered via asynchronous telecommunications system. Guidelines and Instructions. This modifier may be submitted with telehealth services.