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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 />

Policies Policies applicable to the codes on the previous pages:<br />

11-38<br />

Test result interpretation <strong>and</strong> report preparation are an inherent<br />

part <strong>of</strong> the testing service <strong>and</strong> are not separately billable. Only<br />

one testing code may be billed.<br />

Only a licensed psychologist or other licensed health care<br />

pr<strong>of</strong>essional may bill for these psychological <strong>and</strong><br />

neuropsychological tests.<br />

The date <strong>of</strong> service submitted should be the date the testing is<br />

completed, regardless <strong>of</strong> when the report is completed.<br />

Testing, scoring, <strong>and</strong> interpretation done solely by a computer<br />

is not a billable service.<br />

There is no specific definition <strong>of</strong> technician; a technician may<br />

be a psychometrist, student or trainee. Testing administered by<br />

a technician may be billed if the service is rendered under<br />

direct supervision <strong>of</strong> a qualified practitioner <strong>and</strong> if submitted<br />

under the supervising practitioner’s individual provider number<br />

or NPI.<br />

Direct supervision definition: The physician/qualified<br />

practitioner must be present in the same <strong>of</strong>fice (although not<br />

necessarily in the same room as the non-physician/qualified<br />

practitioner) <strong>and</strong> must be immediately available to assist <strong>and</strong><br />

direct throughout the performance <strong>of</strong> the service. A<br />

physician/qualified practitioner cannot provide direct or<br />

personal supervision via telemedicine.<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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