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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Psychiatry <strong>and</strong><br />

Chemical Dependency<br />

Assessments<br />

MHCP Screening<br />

Requirements<br />

90801 <strong>and</strong> 90802<br />

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

These are “per session” codes. Bill one unit <strong>of</strong> service per<br />

session regardless <strong>of</strong> time.<br />

These codes can be billed with either a chemical dependency<br />

diagnosis or with a psychiatric condition diagnosis.<br />

If the assessment does not reveal a behavioral health condition,<br />

it would be appropriate to bill with the sign or symptom<br />

precipitating the assessment.<br />

Rule 25 – chemical dependency assessors should submit their<br />

assessments with a 90801 or 90802 code on an 837P claim<br />

format.<br />

The 2011 <strong>Minnesota</strong> State Legislature passed <strong>Minnesota</strong> Session<br />

Laws 2011, First Special Session, Chapter 9, Article 8, Section 9.<br />

The legislation directs the Department <strong>of</strong> Human Services<br />

commissioner to require individuals performing chemical<br />

dependency or mental health diagnostic assessments to use the<br />

approved st<strong>and</strong>ardized screening tools to identify whether the<br />

individual being assessed screens positive for a co-occurring<br />

mental health or chemical dependency disorder.<br />

<strong>Blue</strong> <strong>Cross</strong> directs participating providers who provide mental<br />

health diagnostic assessments <strong>and</strong> chemical dependency<br />

assessments for MHCP members to comply with this Legislation.<br />

Follow the instructions related to the screening process <strong>and</strong><br />

screening tools provided by the <strong>Minnesota</strong> Department <strong>of</strong> Human<br />

Services (DHS) in Bulletin 12-53-01 published on January 5,<br />

2012.<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> 06/19/12 11-25

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