DDD modifiers

The following Modifiers for billing DDD are included automatically

  • UN/UP - These modifiers are added when you do Tiered Services. These are services where you have one provider working with two clients simultaneously.
  • U4 - This modifier is automatically added when you assign the provider/client assignment and indicate that the provider is a family member not living in home providing ATC (S5125) or HAH(T2017)
  • U5 - This modifier is automatically added when you assign the provider/client assignment and indicate that the provider is a family member living in home providing ATC (S5125) or HAH(T2017)
  • U7 - Agency of Choice. If you have indicated in the clients profile that this member has the right for agency of choice this modifier will be automatically added.
  • CG - This modifier is added automatically by Spokechoice if you have indicated that the provider is has guardianship and done so by adding a relationship using the guardian/client assignment.

Do not add these modifiers to any billing codes. Doing so could result in denied billing as DDD only allows 4 modifiers per billing claim and it is unknown what happens with duplicate modifiers.