TJ HCPCS Level II modifier: Program group, child and/or adolescent

TJ is a HCPCS Level II modifier: “Program group, child and/or adolescent.” It adds this detail to the code it is reported with.

Official description

TJ

Program group, child and/or adolescent

Short description: Child/adolescent program gp

HCPCS · United States

Medicare details

The indicators CMS publishes with TJ 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 TJ sits

  1. 1GroupHCPCS modifiers
  2. 2Modifier TJProgram group, child and/or adolescent

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 TJ mean?

TJ is the HCPCS code for “Program group, child and/or adolescent” in CMS’s HCPCS Level II October 2026 release.

Where is TJ in the HCPCS Level II list?

TJ is listed under Modifiers.

Does Medicare cover TJ?

CMS lists TJ’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.