Modifier AJ

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Leesburg, VA
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I am having trouble finding up to date resources on Modifier AJ. My office is going to be hiring a social worker or drug counselor to do substance abuse therapy. I've discussed this w/ another local practice and they append the AJ modifier to everything done by anyone who is not a psychologist. When I looked it up in the CPT book the definition is "Clinical social worker." Can anyone tell me when exactly I would need to use it, if at all?? Thanks!
 

ckeeney

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South Bend Indiana
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charbanc

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Little Rock, AR
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In my metal health office we use the modifiers depending on what type of insurance they have.
For example for traditional Medicaid and Beacon medicaid/chip they require us to use the AJ modifier for a LCSW and LPC. For Magellan Medicaid the AJ is for LCSW only. Modifiers are not required for commercial insurances. I live in Texas, unsure if this is different per state. You may want to contact the health plans directly for guidance.
 
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