HCPCS Ambulance Modifiers

Origin and Destination Modifiers

section notes

Freestanding ESRD facility

section notes
JD Non-Hospital-based Dialysis facility to a Diagnostic/therapeutic site other than P/H
JE Non-Hospital-based Dialysis facility to a Residential/Domiciliary/Custodial fac.
JG Non-Hospital-based Dialysis facility to a Hospital-based Dialysis Facility
JH Non-Hospital-based Dialysis facility to a Hospital
JI Non-Hospital-based Dialysis facility to a Site of ambulance transport modes transfer
JJ Non-Hospital-based Dialysis facility to another Non-Hospital-based Dialysis facility
JN Non-Hospital-based Dialysis facility to a Skilled Nursing Facility (SNF)
JP Non-Hospital-based Dialysis facility to a Physician's office
JR Non-Hospital-based Dialysis facility to a Residence
JS Non-Hospital-based Dialysis facility to a Scene of Accident/Acute Event
JX Non-Hospital-based Dialysis facility to an Intermediate Stop at Physician's Office
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