SJ HCPCS Level II modifier: Third or more concurrently administered infusion therapy
SJ is a HCPCS Level II modifier: “Third or more concurrently administered infusion therapy.” It adds this detail to the code it is reported with.
Official description
SJThird or more concurrently administered infusion therapy
Short description: 3rd concurrent infusion ther
HCPCS · United States
Medicare details
The indicators CMS publishes with SJ in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Added
- Jul 1, 2001
Where SJ sits
- 1GroupHCPCS modifiers
- 2Modifier SJThird or more concurrently administered infusion therapy
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code SJ mean?
SJ is the HCPCS code for “Third or more concurrently administered infusion therapy” in CMS’s HCPCS Level II October 2026 release.
Where is SJ in the HCPCS Level II list?
SJ is listed under Modifiers.
Does Medicare cover SJ?
CMS lists SJ’s Medicare coverage as “Not payable by Medicare”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside SJ
All modifiersSCMedically necessary service or supplySDServices provided by registered nurse with specialized, highly technical home infusion trainingSEState and/or federally-funded programs/servicesSFSecond opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)SGAmbulatory surgical center (asc) facility serviceSHSecond concurrently administered infusion therapySKMember of high risk population (use only with codes for immunization)SLState supplied vaccineSMSecond surgical opinionSNThird surgical opinionSQItem ordered by home healthSSHome infusion services provided in the infusion suite of the iv therapy provider