Johns Hopkins HealthCare's reimbursement policies are available for providers. Please see the list below for the most recent updates to our reimbursement policies.
Anesthesia Policy
Applied Behavior Analysis (ABA)
Assistant-at-Surgery: Modifiers 80, 81, 82 or AS
Bilateral and Split Care Procedures: Modifier 50
COVID-19 Testing, Treatment, and Vaccination Policy
Discontinued Procedures: Modifiers 73 and 74
DME Rent-to-Own
Gap Fill Fee Schedule
Increased Procedures: Modifier 22
Infants less than 4kg: Modifier 63
Injections & Infusions Codes
Multiple Procedures: Modifier 51
NCCI and MUE Edits
Non-Payment of Preventable Adverse Events (PAE)
National Provider Identifier (NPI)
Non-Reimbursable Codes
Nurse Practitioner Reimbursement
Observation
Obstetric Ultrasound
Physician Assistant Reimbursement
Reduced Procedures: Modifier 52
Scope of Practice
Staged, Related, & Unrelated Procedures: Modifiers 58, 78 and 79
Supply Codes Professional
Telemedicine Procedures
Therapy Modifiers
Two Surgeons/Co- Surgeons (Modifier 62) Procedures
Unlisted Codes
Please continue to check back. Policies are being added quarterly.