Name of Manual - Blue Cross and Blue Shield of Minnesota

Professional/837P Billing
Claims Filing
Zero Billed Charges Blue Cross will allow zero-billing or no charge submission lines
on claims.
Linking and
Sequencing
It is essential to communicate the primary diagnosis for the service
performed, especially if more than one diagnosis is related to a line
item. Adjudication is based on the first linked diagnosis.
Linking/sequencing rules:
Sequence numbers relate to the ICD-9-CM diagnosis codes as
1, 2, 3 and 4.
The primary diagnosis is listed first in the sequence if more
than one diagnosis is related.
Place of Service Codes Only nationally assigned place of service codes are accepted.
These codes are available at the following web address:
http://www.cms.hhs.gov/PlaceofServiceCodes/Downloads/place
ofservice.pdf
Site of Service Blue Cross is specifying, for clarity, the difference between a
facility and a non-facility with respect to the place of service
where a service was rendered. For billing purposes, professional
(837P) billers should use an appropriate place of service code to
indicate where services were rendered. Examples of facilities
include hospitals and ambulatory surgery centers. Examples of
non-facilities include a provider's office and all places not listed
below.
The following is a current comprehensive list of facilities, as
defined by Blue Cross:
Place of Service Code Place of Service Name
21 Inpatient hospital
22 Outpatient hospital
23 Emergency room - hospital
24 Ambulatory surgical center
26 Military treatment facility
31 Skilled nursing facility
34 Hospice
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (05/10/12) 8-15