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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Coding Policies <strong>and</strong> Guidelines (Coding)<br />

New women’s<br />

preventive service<br />

Counseling <strong>and</strong><br />

screening for human<br />

immunodeficiency<br />

virus (HIV)<br />

Counseling <strong>and</strong><br />

screening for<br />

interpersonal <strong>and</strong><br />

domestic violence<br />

11-18<br />

<strong>Blue</strong> <strong>Cross</strong> coverage<br />

Counseling on HIV, group or<br />

individual sessions, once per year,<br />

30-minute maximum per session for<br />

women regardless <strong>of</strong> sexual activity<br />

Counseling up to individual<br />

practitioner but may be similar to the<br />

counseling for STI<br />

Screening for HIV (already paid as<br />

preventive by <strong>Blue</strong> <strong>Cross</strong> prior to<br />

PPACA): lab tests to screen for HIV-<br />

1 or HIV-2 antibodies<br />

Screening up to each individual<br />

practitioner: may be survey or<br />

checklist, usually part <strong>of</strong> st<strong>and</strong>ard<br />

intake/triage for <strong>of</strong>fice visit<br />

Counseling – definition <strong>of</strong><br />

counseling up to each individual<br />

practitioner, group or individual<br />

sessions, no time limit per session,<br />

but only one session per year<br />

covered as preventive (even if<br />

multiple sessions needed)<br />

Counseling:<br />

annual<br />

Screening for STI:<br />

as recommended<br />

by a physician<br />

Counseling:<br />

G0445, G0450,<br />

99401, 99402,<br />

99411 as<br />

preventive with<br />

V65.44, V65.45 or<br />

V69.2<br />

Screening: 86701,<br />

86703, 86689,<br />

G0432, G0433,<br />

G0435, 87390,<br />

87534, 87535, as<br />

preventive<br />

Annual Screening: No<br />

suggested coding.<br />

No coding<br />

available for<br />

screening.<br />

Counseling:<br />

99401-99404, or<br />

99411 or 99412 as<br />

preventive with<br />

V70.0 or V72.31<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (07/12/12)

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