Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Behavioral Health)
Eligibility of Dietitians/
Nutritionists
Psychological and
Neuropsychological
Testing
11-30
Registered dietitians and licensed nutritionists can bill
independently for procedure codes S9470, 97802, 97803 and
97804 when billed with eating disorder diagnosis codes 307.1,
307.50 and 307.51. No referral is required for the highest benefit
level.
For all other diagnoses, licensed dietitian and nutritionist services
must be submitted to Blue Cross by an eligible medical clinic or
hospital. The individual provider number or NPI of the licensed
dietitian or nutritionist must be submitted on the claim. Licensed
dietitians and nutritionists can bill for procedure codes S9470,
97802 and 97803 for any diagnosis. Procedure code 97804 is not
an eligible service for obesity.
Claims for registered dietitians billing services outside of
behavioral health diagnoses will deny unless the services are
submitted under the individual provider number or NPI of a
supervising physician. The U7 modifier should also be submitted.
96101-96103, 96116, 96118-96125
Each test should be associated with medical necessity and not
be a battery of tests for screening purposes.
Code 90887 (interpretation or explanation of exam results)
should not be billed because reimbursement for these services
is included in the reimbursement for the testing.
The psychological and neuropsychological testing codes reflect
who does the testing: a psychologist, a technician or a
computer. Blue Cross coverage and billing policies for these
codes follows the testing policy below.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12