HCPCS Modifier D

Diagnostic or therapeutic site other than 'P' or 'H' when these are used as origin codes (treatment facility).

  • Submit this modifier to indicate the origin or destination of an ambulance transport, when the location is a diagnostic or therapeutic site other than a physician's office or hospital
  • This origin/destination modifier is also used to signify transport to/from a treatment facility other than a dialysis facility. For transport to/from a dialysis facility, refer to HCPCS origin modifiers G and J.
  • Additional documentation may be required to support the need for this ambulance trip

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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