Name of Manual - Blue Cross and Blue Shield of Minnesota

Substance Abuse
Services
Billing a Behavioral
Health Assessment
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12
Coding Policies and Guidelines (Behavioral Health)
The Minnesota Department of Health Minnesota Companion
Guide includes a table showing the correct reporting of substance
abuse services. See section A.5.3, Table 3, of the Minnesota
Uniform Companion Guide for Institutional Claims at the
following link
http://www.health.state.mn.us/auc/instguide.htm.
The table incorporates both institutional and professional claim
types for ease of reference.
0912, 0944 or 0945 with 90801 or 90802
Bill 0912 and 90801/90802 with a mental health, chemical
dependency or alcohol dependency diagnosis code
Bill 0944 and 90801/90802 with a chemical dependency
diagnosis code
Bill 0945 and 90801/90802 with an alcohol dependency
diagnosis
Testing 0918 with 96101-96103, 96118-96125
Family Therapy 0916 with 90846
Testing is compatible with all behavioral health diagnosis codes.
Revenue code 0916 and CPT 90846 is billed for family therapy
when the patient is not present. There may be specific contract
exclusions on for some self-insured groups.
Revenue code 0916 and CPT 90846 should be billed under the
specific patient, and not under the member.
Bill one unit per session, regardless of total time.
0916 with 90847
Revenue code 0916 and CPT 90847 is billed for family therapy
when the patient is present. There may be specific contract
exclusions for some self-insured groups.
Revenue code 0916 and CPT 90847 should be billed under the
specific patient, and not under the member.
Bill one unit per session, regardless of total time.
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