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May 7, 2013

Reminder: Mental Health Providers

In an effort to comply with Evaluation and Management (E&M) guides,  as well as scope of practice provisions, BCBSKS will not allow E&M services when billed by a Licensed Clinical Social Worker, Licensed Certified Marriage and Family Therapist, Licensed Clinical Psychotherapist, Licensed Clinical Professional Counselor,  PhDs, etc.  BCBSKS will deny E&M services by these provider types for proper billing of the appropriate psychotherapy service (90832-90853).

If you have any questions, please contact your professional relations provider representative.