Name of Manual - Blue Cross and Blue Shield of Minnesota

Code Description Units Who May Submit Misc
H0020 Alcohol and/or drug services; methadone
administration and/or service (provision of the
drug by a licensed program)
H0021 Alcohol and/or drug training service (for staff
and personnel not employed by providers)
H0022 Alcohol and/or drug intervention service
(planned facilitation)
H0023 Behavioral health outreach service (planned
approach to reach a target population)
H0024 Behavioral health prevention information
dissemination service (one-way direct or nondirect
contact with service audiences to affect
knowledge or attitude)
H0025 Behavioral health prevention education
service (delivery of services with target
population to affect knowledge, attitude
and/or behavior)
H0026 Alcohol and/or drug prevention process
service, community-based (delivery of
services to develop skills of impactors)
1 per session Freestanding Methadone/Opiod clinic,
Substance Abuse Facility
Coding Policies and Guidelines (Behavioral Health)
1 per session N/A Not covered
1 per session N/A Not covered
1 per session N/A Not covered
1 per session N/A Not covered
1 per session N/A Not covered
1 per session N/A Not covered
Covered when provided
within a methadone clinic
or substance abuse facility.
Compatible with alcohol or
substance abuse dx only.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12 11-73