Back to Insights and Updates for ProvidersDecember 2024

Modifiers and reminders for home infusion therapy

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Point32Health would like to remind providers who administer home infusion therapy services that when you are reporting home infusion for multiple dates of service for the same member, you should report a separate line for each date of service with the applicable procedure code(s) and number of units for that date.

In addition, effective for dates of service beginning Feb. 1, 2025, consistent with correct coding guidelines, please include modifier SH (second concurrently administered infusion therapy) or SJ (third or more concurrently administered infusion therapy) as appropriate.

For more information, refer to our Harvard Pilgrim Health Care Home Infusion Therapy Payment Policy and Tufts Health Plan Home Infusion Payment Policy.