Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Behavioral Health)
Code Description Units Notes on
Use/Coverage
1003 Behavioral Health Accommodations,
Supervised Living
1004 Behavioral Health Accommodations,
Halfway House
1005 Behavioral Health Accommodations,
Group Home
11-106
1 per day Room and board
Not covered
1 per day Room and board
Not covered
1 per day Room and board
Not covered
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12