The 95 modifier is a new coding modifier used for claims. It was introduced in 2017 and is different from CPT or procedure codes, and describes the claim. One example of a modifier that has been used for many years is the HJ modifier which is used to code EAP claims. 95 Modifier Description The […]

The GT modifier is a coding modifier used for Telehealth claims. For many years it was the standard for signifying Telehealth claims before being mainly supplanted by the 95 modifier. In 2018, when CMS and Medicare stopped using this mainly companies followed suit and switched to 95 modifier. Despite this, there are still some insurance […]

The AJ Modifier, like some of the HCPCS H modifiers, is used in coding claims. These modifiers differ from diagnosis or CPT procedure codes, and are used to describe a different aspect of the claim. One similar example is the HO modifier which is sometimes required by insurance companies and shows the degree level (Master’s […]

The HJ billing modifier is a H Code HCPCS modifier used in coding claims. This H group of modifiers are used to describe either something about the claim or the credentials of the provider. The HJ modifier is the most commonly used of the HCPCS modifiers in behavioral health claims. HJ Modifier Description The HJ […]

The HE modifier is a H Code HCPCS modifier used in coding claims. This H group of modifiers are used to describe something else about the claim beyond the procedure or ICD10 diagnosis code. The most commonly used modifier in this group is HJ used to code Employee Assistance Program (EAP) visits. Insurance companies will […]

The HP modifier, like the HO modifier and HN, is a HCPCS modifier used in coding claims. This group of modifiers are used to describe something else about the claim. One more commonly used example is the HJ modifier which is usually used to code Employee Assistance Program (EAP) visits. Insurance companies will request that […]

The HN modifier, like the HO modifier, is a HCPCS modifier used in coding some claims. These modifiers are different from CPT or procedure codes and are used to describe something else about the claim. One commonly used example is the HJ modifier which is usually used to code Employee Assistance Program (EAP) visits. Modifiers […]

PLEASE NOTE:  As of 2023, these codes have been removed by CMS and the AMA.   CPT Code 99355 is a prolonged service CPT code add-on.  99355 cannot be billed alone and must be billed with an appropriate procedure code as well as another prolonged service code, 99354. Add-on Code 99355 fits into a sub-group of […]