Name of Manual - Blue Cross and Blue Shield of Minnesota

Medication
Management
M0064 and 90862
Coding Policies and Guidelines (Behavioral Health)
It is not appropriate to bill a medication management code on the
same day as an evaluation and management code. If both are billed
on the same day, the medication management code will deny as
incidental to the evaluation and management code.
Medication management can be billed by a nurse practitioner,
physician assistant, MD, clinical nurse specialist in psychiatry, and
psychiatric mental health nurse practitioner.
Medication management is compatible with a behavioral health
diagnosis.
This service is eligible when billed in the office or skilled nursing
facility. It is not an eligible service when billed with an inpatient
place of service. A medication management visit billed on the
same day as an inpatient visit will deny as incidental to the
inpatient visit.
Medication management rendered in the outpatient clinic setting
should only be billed on an 837P professional claim form. If billed
on a facility claim, it will be denied.
M0064 includes a component for a brief office visit.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12 11-27