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Reimbursement Policies
Johns Hopkins HealthCare's reimbursement policies are available for providers. Please see the list below for the most recent updates to our reimbursement policies.
If you have questions, please contact Provider Relations at (888) 895-4998.
Anesthesia Policy
Applied Behavior Analysis (ABA)
Assistant-at-Surgery: Modifiers 80, 81, 82 or AS
Bilateral and Split Care Procedures: Modifier 50
Discontinued Procedures: Modifiers 73 and 74
DME Rent-to-Own
Gap Fill Fee Schedule
Increased Procedures: Modifier 22
Infants less than 4kg: Modifier 63
Multiple Procedures: Modifier 51
NCCI and MUE Edits
Non-Payment of Preventable Adverse Events (PAE)
National Provider Identifier (NPI)
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
Therapy Modifiers
Unlisted Codes
Please continue to check back. Policies are being added quarterly.