2025 HCPCS code HZ
Modifier HZ is appended to a behavioral health service code when the provider's services are funded by a criminal justice agency.
In simple words: This code is used when a patient's therapy is paid for by a criminal justice agency.
This modifier signifies that the provider is receiving funding from a criminal justice agency to provide therapy to a patient. The criminal justice agency arranges and finances the therapy, and the provider uses these resources to deliver mental and behavioral healthcare services.
Example 1: A patient receives court-ordered anger management therapy. The sessions are funded by the court system, so the provider uses the HZ modifier., A patient is referred to therapy by their parole officer as part of their release conditions. The parole board covers the cost of therapy, necessitating the HZ modifier., A victim of a crime receives therapy services funded by a victim restitution program administered through the criminal justice system. The provider uses the HZ modifier to indicate this funding source.
Documentation should clearly indicate that the criminal justice agency is funding the treatment and specify the agency involved.
- Specialties:Behavioral Health, Psychiatry, Psychology, Social Work, Substance Abuse Treatment
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Outpatient Hospital, Community Mental Health Center, Federally Qualified Health Center, Non-residential Substance Abuse Treatment Facility, Non-residential Opioid Treatment Facility, Residential Substance Abuse Treatment Facility, Partial Hospitalization, Inpatient Psychiatric Facility, Psychiatric Residential Treatment Center, Independent Clinic