Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Behavioral Health)
Code Description Units Who May Submit Misc
T2034 Crisis intervention, waiver; per diem 1 per day N/A Not covered
T2035 Utility services to support medical equipment
and assistive technology/ devices, waiver
T2036 Therapeutic camping, overnight, waiver; each
session
T2037 Therapeutic camping day, waiver; each
session
11-84
1 per session N/A Not covered
1 per session N/A Not covered
1 per session N/A Not covered
T2038 Community transition, waiver; per service 1 per session N/A Not covered
T2039 Vehicle modifications, waiver; per service 1 per session N/A Not covered
T2040 Financial management, self-directed, waiver;
per 15 minutes
T2041 Supports brokerage, self-directed, waiver; per
15 minutes
T2048 Behavioral health; long-term care residential
(non-acute care in a residential treatment
program where stay is typically longer than
30 days), with room and board, per diem
1 per 15
minutes
1 per 15
minutes
N/A Not covered
N/A Not covered
1 per day N/A Not covered
MD = Psychiatrist; LP-Ph.D. = Licensed Psychologist, Doctorate; LP-MA = Licensed Psychologist, Masters; LICSW = Licensed Clinical Social Worker; PA = Physician’s Assistant: NP = Nurse Practitioner, CNS-
Psych = Clinical Nurse Specialist, Psychiatric specialty; PMHNP = Psychiatric Mental Health Nurse Practitioner; LMFT = Licensed Marriage and Family Therapist
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12