RESOLVED: Modifiers Rejecting on 2019 New Mental Health Procedure Codes

Issue Identified: March 12, 2019

Issue: CMS issued Change Request 8010 in February, 2013, eliminating the need for HCPCS modifier AH or AJ to be submitted. Therefore, the 2019 new mental health codes listed below are not set up in the claim processing system to accept these modifiers resulting in claim rejections.

Affected CPT Codes

  • 96112-96113
  • 96121
  • 96130-96133
  • 96136-96139
  • 96146

Provider Action: Providers should remove the HCPCS modifier AH or AJ for affected services with dates of service January 1, 2019, or after and resubmit the claims as new claims.

March 29, 2019 Resolved: Palmetto GBA has updated the Modifier Lookup Tool instructions for these modifiers.

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