Name of Manual - Blue Cross and Blue Shield of Minnesota

Chapter 11
Coding Policies and Guidelines
(Medical Services)
Table of Contents
Evaluation and Management (E/M)..................................................................................... 11-3
Office or Other Outpatient and Initial Inpatient Consultations .........................................11-11
New and Established Patients ............................................................................................ 11-12
Preventive Medicine ..........................................................................................................11-12
Hospital Discharge.............................................................................................................11-13
Allergy Testing .................................................................................................................. 11-13
Allergy Immunotherapy.....................................................................................................11-13
Anticoagulation Clinic-S9401 ...........................................................................................11-14
Blood, Occult, Feces Screening......................................................................................... 11-14
Cardiovascular Stress Test................................................................................................ 11-14
Chemotherapy Administration........................................................................................... 11-15
Chemical Dependency Assessment ................................................................................... 11-16
CHF Telemonitoring..........................................................................................................11-16
Day Treatment ................................................................................................................... 11-19
Diabetic Education.............................................................................................................11-19
E-Care Visits......................................................................................................................11-20
Ear Wax Removal..............................................................................................................11-24
G0101.................................................................................................................................11-24
Immunizations.................................................................................................................... 11-25
Billing Options for Medicare Part D Vaccines.................................................................. 11-30
Injections............................................................................................................................11-32
Appealing Unlisted Drug Allowances ............................................................................... 11-33
Infusion Therapy................................................................................................................ 11-34
Injection and Infusion Services Restrictions......................................................................11-34
Dispensing Fees ................................................................................................................. 11-34
Interpreter Services ............................................................................................................ 11-34
Transfusion—Blood and Blood Products .......................................................................... 11-34
Locum Tenens.................................................................................................................... 11-35
Natural Family Planning.................................................................................................... 11-35
Nicotine Dependence.........................................................................................................11-35
Revenue Codes Used by Facilities 0944 or 0945 ..............................................................11-37
Eligibility to Bill for Specific Procedures/Services...........................................................11-37
Coverage for Tobacco Treatment Medications..................................................................11-38
Noncovered Tobacco Treatments ...................................................................................... 11-38
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (06/20/12) 11-1