Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Behavioral Health)
Code Narrative Units Practitioner General Policies
96116 Neurobehavioral status
exam (clinical assessment of
thinking, reasoning and
judgment, e.g., acquired
knowledge, attention,
language, memory, planning
and problem solving, and
visual spatial abilities), per
hour of the psychologist’s
or physician’s time, both
face-to-face time with the
patient and time interpreting
test results and preparing
the report.
96118 Neuropsychological testing
(e.g., Halstead-Reitan
neuropsychological battery,
Wechsler memory scales
and Wisconsin card sorting
test), per hour of the
psychologist’s or
physician’s time, both faceto-face
time with the patient
and time interpreting test
results and preparing the
report.
11-34
Report one (1)
unit per hour
of face-to-face
testing,
interpretation
and
preparation of
report.
Report one (1)
unit per hour
of face-to-face
testing,
interpretation
and
preparation of
report.
MD, LP-
PhD., LP-
MA,
LICSW,
CNS-Psych,
PMHNP,
LMFT, NP,
PA, LPCC
MD, LP-
PhD, LP-
MA
The psychologist
or psychiatrist
administers and
interprets the
test(s) and prepares
the report.
Billed under the
practitioner’s
individual provider
number or NPI.
The psychologist
or psychiatrist
administers and
interprets the
test(s) and prepares
the report.
Billed under the
MD, LP-PhD, LP-
MA individual
provider number or
NPI.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12