2025 HCPCS code HY
Modifier HY is appended to a behavioral health service code to indicate that the service is funded by a juvenile justice agency.
Modifier HY is used specifically to indicate funding source and is not typically used with other modifiers related to the service itself. However, it can be used with other HCPCS modifiers that indicate government or other agency funding for mental health services (HU through HZ).
In simple words: The cost of this mental health service is covered by a juvenile justice agency.
This modifier signifies that the provider receives funding from a juvenile justice agency for the therapy provided to the patient. Medical documentation must confirm that the juvenile justice agency is the funding source for the patient's treatment. The agency arranges the financing, and the provider uses these resources to deliver mental and behavioral healthcare services to the patient.
Example 1: A teenager receives court-mandated therapy for anger management, and the sessions are funded by the juvenile justice system. The therapist would append modifier HY to the appropriate service code., A youth involved in the juvenile justice system receives substance abuse counseling funded by the juvenile drug court. Modifier HY would be added to the service code to denote this funding arrangement., A minor under the supervision of the juvenile justice system receives mental health therapy as part of their rehabilitation program. This therapy is funded by the juvenile justice agency, and the provider would use modifier HY when billing for these services.
Documentation should clearly state that the juvenile justice agency is the funding source for the therapy sessions and include details about the patient's involvement with the agency.
** Modifiers HU through HZ are used to identify government and other agency funding sources for mental health services, ensuring accurate reporting of payment responsibility.