Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Behavioral Health)
Behavioral Health for Institutional (837I) Billers
Introduction This section of the manual is intended for all behavioral health
practitioners who bill on the 837I claim format. This section is not
intended for practitioners whose services are billed on the 837P
claim format.
Practitioners Who
Should be Using this
Section
Residential treatment centers, non-residential treatment centers,
Rule 5 facilities, Rule 8 facilities, hospitals, state hospitals and
treatment centers, freestanding detoxification centers, sex offender
treatment facilities.
Coding Guidelines Use the following codes for submitting behavioral health
evaluation or testing services on the 837I claim format.
Behavioral Health
Evaluation or Testing
Revenue
Code
HCPCS
Code Narrative Time Units
0914 90801 Psychiatric diagnostic
review
0914 90802 Interactive psychiatric
diagnostic interview
0918 96101-
96102
0918 96118-
96119
Psychological testing
per hour
Neuropsychological
testing battery with
interpretation or report
Per
session
Per
session
60
minutes
60
minutes
1 unit
1 unit
1 per
hour
1 per
hour
Units One or more units should be submitted based on the time
designation within the HCPCS code narrative. If there is no time
designation, the service is considered ‘per session’ and only one
unit should be submitted regardless of the actual time spent.
Unit guidelines are also noted in the appropriate following
sections.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12 11-85