Name of Manual - Blue Cross and Blue Shield of Minnesota

Chapter 11
Coding Policies and Guidelines
(Rehabilitative Services)
Table of Contents
Physical Therapy Modalities................................................................................................11-2
Physical Therapy Procedures...............................................................................................11-2
Physical Therapy Evaluation Codes .................................................................................... 11-3
Occupational Therapy.......................................................................................................... 11-3
Occupational Therapy Evaluation Codes............................................................................. 11-4
Hot and Cold Pack Exclusion .............................................................................................. 11-5
TMJ Orthotic Adjustments .................................................................................................. 11-5
Massage and Manual Therapy Exclusion ............................................................................ 11-5
Speech Therapy and Evaluation........................................................................................... 11-7
“Timed” Unit Reporting ...................................................................................................... 11-7
MHCP PT, OT, ST Authorization Process ..........................................................................11-8
Medical Necessity Vendor.................................................................................................11-10
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (03/19/12) 11-1