2025 HCPCS code HV

Modifier used to indicate that a behavioral health service is funded by a state addictions agency.

Refer to HCPCS coding guidelines and specific payer policies for correct application of modifier HV.

Medical necessity for the underlying behavioral health service must be established independently of the funding source.

The provider is responsible for delivering the therapy and maintaining documentation that verifies the funding source.

IMPORTANT Other related modifiers for government and agency funding of mental health services include: HU (Funded by child welfare agency), HW (Funded by state mental health agency), HX (Funded by county or local agency), HY (Funded by juvenile justice agency), and HZ (Funded by criminal justice agency).

In simple words: This code is used when a state agency that deals with addiction problems pays for a patient's therapy.

This modifier is appended to a behavioral health service code to indicate that the provider receives funding from a state addictions agency for the therapy provided to the patient.The medical documentation must confirm that the state addictions agency is the funding source for the patient's treatment.

Example 1: A patient receives substance abuse counseling services, and the therapy sessions are paid for by a state-funded program for addiction treatment. The provider would append modifier HV to the appropriate service code., A patient undergoes family therapy for issues related to a family member's addiction, and the therapy is covered by a state grant for addiction-related family services. Modifier HV would be used., A patient receives medication-assisted treatment for opioid addiction, and a state addiction agency provides financial support for the treatment. The service code for the treatment would include modifier HV.

Documentation must clearly indicate that the service provided is funded by the state addictions agency, including details of the program or grant.

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