UHC Modifiers Not Reimbursable to Health Care Professionals
UnitedHealthcare will not reimburse modifiers H9, HU-HZ, QJ or TR, effective in the second quarter of 2015. The use of the following modifiers indicates that a service has been funded by a county, state or federal agency; therefore, no cost has been incurred requiring reimbursement:
H9 Court-ordered
HU Funded by child welfare agency
HV Funded state addictions agency
HW Funded by state mental health agency
HX Funded by county/local agency
HY Funded by juvenile justice agency
HZ Funded by criminal justice agency
QJ Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 CFR 411.4 (B)
TR School-based individualized education program services provided outside the public school district responsible for the student
Also see Complete list of All modifiers
