What is HJ modifier code?
Asked by: Kaylie Mitchell III | Last update: July 29, 2025Score: 4.2/5 (59 votes)
What is modifier hj?
HJ Modifier – EAP or Employee Assistance Program Visits (EAP) The HJ modifier is used to indicate that the mental health services were provided as part of an Employee Assistance Program (EAP).
What is CPT code 90834 hj?
CPT® code 90834: Psychotherapy, 45 minutes | American Medical Association.
What is the HO modifier used for?
What Does the HO Modifier Signify? What About HN or HP? The HO modifier signifies that the provider has a master's level degree and should only ever be billed if the provider has the appropriate degree level.
What is the code for EAP billing?
Employee Assistance Program (EAP) visits are typically billed with the HJ modifier with a routine procedure code, i.e. 90837 or 90834. This is how companies like Anthem, Aetna, and United Healthcare ask their claims to be billed. But Cigna has a different requirement.
Automated Modifier Codes
What does EAP mean code?
Early Access Programs (EAP) provide early versions of our software for developers to test with their applications and influence its new features prior to General availability (GA).
What is the billing code for assistive technology?
Billing and Coding: CPT Code 97755 - Assistive Technology Assessment.
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 GH modifier used for?
HCPCS modifier GH is used to report a diagnostic mammogram converted from screening mammogram on the same day. This modifier may be submitted with CPT codes: 77065 and 77066, and HCPCS codes G0204 and G0206.
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.
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 Optum EAP?
Use the CPT Code 99404 in order to indicate the sessions is billed under EAP. Both Optum and Cigna require the inclusion of the Authorization number on the claim.
Does cpt code 90834 need a modifier?
In behavioral health, the modifier 95 is added to the original code to signify teletherapy. For example, you would add the 95 modifier to 90834 to signify a 45-minute teletherapy session (i.e., 90834-95).
What are modifier codes?
Modifiers can be two digit numbers, two character modifiers, or alpha-numeric indicators. Modifiers provide additional information to payers to make sure your provider gets paid correctly for services rendered.
How do I bill Cigna for EAP sessions?
For all EAP sessions (including SAP referrals), you should submit your claims utilizing the CPT code 99404. Claims must be submitted with the correct/current ICD-10-CM Diagnosis codes. Claims submitted with outdated or incomplete diagnosis codes will be denied.
What is the difference between CPT and EAP?
Chargeable EAP: Epic site-specific code that is used to determine final charge for the service. CPT: Current Procedural Terminology code used outside of Epic to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.
What is a GS modifier used for?
Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level. This modifier is used for national claims monitoring for ESAs administered in Medicare renal dialysis facilities, so therefore, is not applicable to Part B.
What is an LC modifier used for?
HCPCS Modifier LC is used to report the left circumflex coronary artery. This modifier may be submitted with the following CPT codes: 92973. 92978–92979.
Why is GW modifier used?
Use of the GW modifier means that the item or service is not related to the hospice patient's terminal condition. Claims for dates of service during a hospice episode/period of care will be denied unless the GW modifier is appended.
What is an hn modifier?
The HN signifies that the highest degree the provider currently has is a bachelor's degree. Similar codes HO signifies a masters degree and HP a doctoral degree level. (
What is a GT modifier?
Modifiers in medical billing are two-digit codes used to provide specific details about a procedure or service provided to a patient. A GT modifier is a code used in medical billing to show administration of services through telemedicine.
What is the TA modifier used for?
Definition: Append modifier TA to identify that the provider performs a procedure on the great toe of the left foot.
What is the CPT code for ADLs?
CPT Code 97535: Self-Care/Home Management Training (e.g., activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment), direct one-on-one contact by provider, each 15 minutes.
What is the ICD 10 code for assistive device use?
2025 ICD-10-CM Diagnosis Code Z99. 89: Dependence on other enabling machines and devices.