Medical Billing Forum

Billing => Billing => : laceyx08 September 15, 2011, 12:51:47 AM

: LMSW and LPC
: laceyx08 September 15, 2011, 12:51:47 AM

I will be doing the billing for one LMSW and two LPCs. I just want to verify the right modifiers. I currently do the billing for a clinical psychologist for another company and I know we put the AH modifier on each claim.

For the LMSW the modifer would be AJ on each claim
and for the LPCs the modifier would be UD on each claim

Is this correct?

Thank you.

: Re: LMSW and LPC
: Michele September 16, 2011, 10:21:03 AM

The AJ modifier would be correct.  I am not familiar with the AH modifier and couldn't find any info on it.  I found two different uses for the UD modifier, but neither fits your description.

1:  When billing for the attending ED physician E&M service, the modifier UD must be used with the appropriate E&M procedure code to designate that the patient was released (discharged) from the ED

2:  Use the “UD” modifier for any physician-administered drugs billed with J codes

 

: Re: LMSW and LPC
: laceyx08 September 16, 2011, 06:18:05 PM

ok thank you. do you happen to know which modifier would be used for a licensed professional counselor?

: Re: LMSW and LPC
: Michele September 17, 2011, 10:30:17 AM

I am not aware of a modifier for LPC's.

: Re: LMSW and LPC
: laceyx08 September 17, 2011, 11:16:56 AM

so it would just be the procedure code like 90806 with no modifier?

: Re: LMSW and LPC
: Michele September 20, 2011, 09:35:13 AM

I have billed for LPC's and I have not used a modifier.  If there is one for them, I haven't heard of it.

: Re: LMSW and LPC
: rdmoore2003 September 20, 2011, 06:11:56 PM

I BILL FOR LPC'S.   NEVER USE MODIFIER, BUT WE ARE OUTPATIENT (OFFICE SETTING)

: Re: LMSW and LPC
: laceyx08 September 20, 2011, 07:31:14 PM

okay thanks guys