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Name of Manual - Blue Cross and Blue Shield of Minnesota

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

Family Therapy 90846<br />

Units for Public<br />

Program Members<br />

11-26<br />

This code is billed for family therapy when the patient is not<br />

present. There may be specific contract exclusions for some<br />

self-insured groups.<br />

This code should be billed under the specific patient, not under<br />

the member.<br />

Bill one unit per session regardless <strong>of</strong> total time.<br />

This code must be billed with a behavioral health diagnosis.<br />

90847<br />

This code is billed for family therapy when the patient is<br />

present. There may be specific contract exclusions for some<br />

self-insured groups.<br />

This code should be billed under the specific patient, not under<br />

the member.<br />

Bill one unit per session regardless <strong>of</strong> total time.<br />

This code must be billed with a behavioral health diagnosis.<br />

Psychiatric diagnostic interview exams, family psychotherapy<br />

without the patient present, <strong>and</strong> family psychotherapy with the<br />

patient present are all allowed for PMAP <strong>and</strong> MNCare<br />

enrollees, when provided by an MD, LP-PhD., LP-MA,<br />

LICSW, CNS-Psych, PMHNP, LPCC or LMFT.<br />

Note: LPCs <strong>and</strong> LPCCs are ineligible providers for <strong>Minnesota</strong><br />

Health Care Program enrollees.<br />

Codes 90801, 90802, 90846, 90847, 90849, 90853, 90857 <strong>and</strong><br />

90887 must only be reported by session, regardless <strong>of</strong> time.<br />

The unit reported must be “1.” Unit submission for all codes<br />

will be based on the code narrative.<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

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