Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Behavioral Health)
Code Description Units Who May Submit Misc
96103 Psychological testing (includes
psychodiagnostic assessment of emotionality,
intellectual abilities, personality and
psychopathology, e.g., MMPI), administered
by a computer, with qualified health care
professional interpretation and report
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 face-to-face time
administering tests to the patient and time
interpreting test results and preparing the
report
11-64
Report 1 unit
per testing
session
regardless of
number of tests
MD, LP-PhD, LP-MA, LICSW, CNS-
Psych, PMHNP, LMFT, NP, PA, LPCC
1 per hour MD, LP-PhD., LP-MA, LICSW, CNS-
Psych, PMHNP, LMFT, NP, PA, LPCC
Report 1 unit
per hour of
face-to-face
testing,
interpretation
and
preparation of
report
Patient is alone and taking
a computer-based test.
A qualified licensed
practitioner interprets the
test(s) and prepares the
report.
Billed under the licensed
practitioner provider
number or NPI.
MD, LP-Ph.D., LP-MA 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