Individualized Education Program (IEP) and Individualized Family Service Plan (IFSP) Health-Related Services Procedure Codes
Overview
Effective Oct. 1, 2025, Minnesota school-based IEP and IFSP health-related services use discipline-specific current procedural technology (CPT) and healthcare common procedure coding system (HCPCS) codes.
For mental health services, the listed codes represent a comprehensive list of billable codes for schools.
For all other services, the listed codes represent commonly billed codes for schools, not a comprehensive list of billable codes.
Assistive Technology
HCPCS Code | Required Modifier | Description |
E2500 | NU, RR, RA, RB | Speech-generating device, digitized speech, using prerecorded messages, less than or equal to eight minutes recording time |
E2502 | NU, RR, RA, RB | Speech-generating device, digitized speech, using prerecorded messages, greater than eight minutes but less than or equal to 20 minutes recording time |
E2504 | NU, RR, RA, RB | Speech-generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time |
E2506 | NU, RR, RA, RB | Speech-generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time |
E2510 | NU, RR, RA, RB, U3 | Speech-generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access; for electronic tablets - use U3 modifier |
E2511 | NU, RA, U3 | Software applications for electronic tablets |
E2512 | NU, RA, RB, U3 | Accessory for speech-generating device, mounting system |
E2599 | NU, RA, RB, U3 | Accessory for speech-generating device, not otherwise classified (use for all other accessories, including carrying or protective cases) |
E2321 | NU, RR, RA, RB | Power wheelchair accessory, input device |
E2322 | NU, RR, RA, RB | Power wheelchair accessory, expansion device |
E1399 | NU, RR, RA, RB | Durable medical equipment, miscellaneous |
Audiology
CPT Code | Required Modifier | Description |
92551 | No modifier required. | Screening test, pure tone, air only |
92552 | No modifier required. | Pure tone audiometry (threshold), air only |
92553 | No modifier required. | Audiometry testing, air and bone |
92555 | No modifier required. | Speech threshold audiometry |
92556 | No modifier required. | Speech audiometry with speech recognition |
92557 | No modifier required. | Comprehensive audiometry threshold evaluation with speech recognition |
92567 | No modifier required. | Tympanometry |
92568 | No modifier required. | Acoustic reflex threshold testing |
92570 | No modifier required. | Acoustic immittance testing |
92587 | No modifier required. | Evoked otoacoustic emissions, limited |
92588 | No modifier required. | Evoked otoacoustic emissions, comprehensive |
92620 | No modifier required. | Evaluation of hearing function brain responses, first hour |
Refer to Audiology Services Procedure Codes for more codes.
IEP services provided in school
Interpreter Services
HCPCS Code | Required Modifier | Description |
T1013 | No modifier required | Sign language/oral interpretive services |
Mental Health
Evaluation and assessments
Mental Health – Psychological Testing
CPT Code | Modifier | Description |
96130 | No modifier required | Psychological testing evaluation services (school psychologist, licensed psychologist) |
96130 | HN | Psychological testing evaluation services (by a clinical trainee) |
Mental Health – Neuropsychological Services
CPT Code | Modifier | Description |
96132 | No modifier required | Neuropsychological testing evaluation administered by a physician or qualified neuropsychologist, interpretation, analysis, report |
Mental Health – Evaluation and Assessments
CPT Code | Modifier | Description |
90791 | No modifier required | Standard diagnostic assessment – (Diagnostic assessment, mental health evaluation or Summary & Recommendation) |
90791 | HN | Standard diagnostic assessment (by a clinical trainee) – (Diagnostic assessment, evaluation or Summary & Recommendation) |
96127 | No modifier required | Brief emotional/behavioral assessment |
Mental Health in Special Education (MH-SPED)
Mental Health – Child and Family Psychoeducation
HCPCS Code | Modifier | Description |
H2027 | No modifier required | Family Psychoeducation Individual (with a single member) |
H2027 | HN | Family Psychoeducation Individual (with a single member) (by a clinical trainee or practitioner) |
H2027 | HQ | Family Psychoeducation Member Group (with multiple members) |
H2027 | HQ, HN | Family Psychoeducation Member Group (with multiple members) (by a clinical trainee or practitioner) |
H2027 | HR | Family Psychoeducation Member and Family (with a single member and their family) |
H2027 | HR, HN | Family Psychoeducation Member and Family (with a single member and their family) (by a clinical trainee or practitioner) |
H2027 | HS | Family Psychoeducation Family (with a single family, individual not present) |
H2027 | HS, HN | Family Psychoeducation Family (with a single family, individual not present) (by a clinical trainee or practitioner) |
H2027 | HQ, HR | Family Psychoeducation Family Group (with multiple families with individuals present) |
H2027 | HQ, HR, HN | Family Psychoeducation Family Group (with multiple families with individuals present) (by a clinical trainee or practitioner) |
H2027 | HQ, HS | Family Psychoeducation Family Group (with multiple families with individuals not present) |
H2027 | HQ, HS, HN | Family Psychoeducation Family Group (with multiple families with individuals not present) (by a clinical trainee or practitioner) |
Mental Health – Children’s Mental Health Clinical Care Consultation
CPT Code | Modifier | Description |
90899 | U8 | Clinical care consultation, face to face |
90899 | U8, HN | Clinical care consultation, face to face (by a clinical trainee) |
Mental Health – Dialectical Behavior Therapy (DBT)
HCPCS Code | Required Modifier | Description |
H2019 | U1 | Individual DBT therapy for adults – (Therapeutic behavioral services – DBT Identifier) |
H2019 | U1, HN | Individual DBT therapy for adults (by a clinical trainee) – (Therapeutic behavioral services – DBT Identifier) |
H2019 | U1, HA | Individual DBT therapy for adolescents – (Therapeutic behavioral services – DBT Identifier) |
H2019 | U1, HA, HN | Individual DBT therapy for adolescents (by a clinical trainee) – (Therapeutic behavioral services – DBT Identifier) |
H2019 | U1, HQ | Group DBT skills training for adults – (Therapeutic behavioral services – DBT identifier) |
H2019 | U1, HQ, HN | Group DBT skills training for adults (by a clinical trainee) – (Therapeutic behavioral services – DBT identifier) |
H2019 | U1, HQ, HA | Group DBT skills training for adolescents – (Therapeutic behavioral services – DBT identifier) |
H2019 | U1, HQ, HA, HN | Group DBT skills training for adolescents (by a clinical trainee) – (Therapeutic behavioral services – DBT identifier) |
Mental Health – Explanation of Findings
CPT Code | Modifier | Description |
90887 | No modifier required | Explanation of findings |
90887 | HN | Explanation of findings (by a clinical trainee) |
Mental Health – Psychotherapy
CPT Code | Modifier | Description |
90832 | No modifier required | Psychotherapy with patient |
90832 | HN | Psychotherapy with patient (by a clinical trainee) |
90846 | No modifier required | Family psychotherapy without patient present |
90846 | HN | Family psychotherapy without patient present (by a clinical trainee) |
90847 | No modifier required | Family psychotherapy with patient present |
90847 | HN | Family psychotherapy with patient present (by a clinical trainee) |
90849 | No modifier required | Multiple family group psychotherapy |
90849 | HN | Multiple family group psychotherapy (by a clinical trainee) |
90853 | No modifier required | Group psychotherapy |
90853 | HN | Group psychotherapy (by a clinical trainee) |
90875 | No modifier required | Individual psychophysiological therapy incorporating biofeedback, with psychotherapy |
90875 | HN | Individual psychophysiological therapy incorporating biofeedback, with psychotherapy (by a clinical trainee) |
Mental Health – Psychotherapy for Crisis
CPT Code | Modifier | Description |
90839 | No modifier required | Psychotherapy for crisis |
90839 | HN | Psychotherapy for crisis (by a clinical trainee) |
School-based mental health – Children’s Therapeutic Services and Supports (CTSS)
CPT Code | Required Modifier | Description |
90832 | UA | Psychotherapy with patient or family member or both 30 (16-36) minutes. |
90832 | UA, HN | Psychotherapy with patient or family member or both (by a clinical trainee) 30 (16-37) minutes. |
90834 | UA | Psychotherapy with patient or family member or both 45 (38-52) minutes. |
90834 | UA, HN | Psychotherapy with patient or family member or both (by a clinical trainee) 45 (38-52) minutes. |
90837 | UA | Psychotherapy with patient or family member or both 60 (53 or more) minutes. |
90837 | UA, HN | Psychotherapy with patient or family member or both (by a clinical trainee) 60 (53 or more) minutes. |
90839 | UA | Psychotherapy for crisis |
90839 | UA HN | Psychotherapy for crisis (by a clinical trainee) |
90846 | UA | Family psychotherapy without patient present |
90846 | UA, HN | Family psychotherapy without patient present (by a clinical trainee) |
90847 | UA | Family psychotherapy with patient present |
90847 | UA, HN | Family psychotherapy with patient present (by a clinical trainee) |
90849 | UA | Multiple family group psychotherapy |
90849 | UA, HN | Multiple family group psychotherapy (by a clinical trainee) |
90853 | UA | Group psychotherapy |
90853 | UA, HN | Group psychotherapy (by a clinical trainee) |
90875 | UA | Individual psychophysiological therapy incorporating biofeedback, with psychotherapy |
90875 | UA, HN | Individual psychophysiological therapy incorporating biofeedback, with psychotherapy (by a clinical trainee) |
HCPCS Code | Required Modifier | Description |
H0031 | UA | Administering and reporting standardized measures |
H0031 | UA, HN | Administering and reporting standardized measures (by a clinical trainee or practitioner) |
H0032 | UA | Treatment plan development and review |
H0032 | UA, HN | Treatment plan development and review (by a clinical trainee or practitioner) |
H2012 | UA, HK | Behavioral Health Day Treatment (school-based, specialized program) |
H2012 | UA, HK, U6 | Behavioral Health Day Treatment (school-based, specialized program, interactive) |
H2014 | UA | Skills training and development – individual |
H2014 | UA, HN | Skills training and development – individual (by a clinical trainee or practitioner) |
H2014 | UA, HQ | Skills training and development – group |
H2014 | UA, HQ, HN | Skills training and development – group (by a clinical trainee or practitioner) |
H2014 | UA, HR | Skills training and development – family |
H2014 | UA, HR, HN | Skills training and development – family (by a clinical trainee or practitioner) |
H2015 | UA | Comprehensive community support services – crisis planning |
H2015 | UA, HN | Comprehensive community support services – crisis planning(by a clinical trainee) |
H2019 | UA | Therapeutic behavioral services – Level I MHBA |
H2019 | UA, HM | Therapeutic behavioral services – Level II MHBA |
H2019 | UA, HE | Therapeutic behavioral services – direction of MHBA |
Nursing
CPT Code | Required Modifier | Description |
96372 | No modifier required | Injection (subcutaneous or intramuscular) |
HCPCS Code | Required Modifier | Description |
T1002 | No modifier required | RN services |
T1003 | No modifier required | LPN/LVN services |
T1001 | No modifier required | Nursing assessment/evaluation |
Occupational Therapy (OT)
CPT Code | Required Modifier | Description |
97165 | GO | Occupational therapy evaluation, low complexity |
97166 | GO | Occupational therapy evaluation, moderate complexity |
97167 | GO | Occupational therapy evaluation, high complexity |
97168 | GO | Occupational therapy re-evaluation |
97530 | GO | Therapeutic activities, direct (one-on-one) |
97110 | GO | Therapeutic procedure, exercises |
97112 | GO | Neuromuscular therapy |
97140 | GO | Manual therapy techniques |
97150 | GO | Group therapeutic procedures, two or more persons |
97542 | GO | Wheelchair management |
Refer to Rehabilitative Service Codes for Occupational Therapy, Physical Therapy and Speech-Language Pathology for more codes.
Personal Care Assistance
HCPCS Code | Required Modifier | Description |
T1019 | No modifier required | Personal care services |
Physical Therapy (PT)
CPT Code | Required Modifier | Description |
97161 | GP | Physical therapy evaluation, low complexity |
97162 | GP | Physical therapy evaluation, moderate complexity |
97163 | GP | Physical therapy evaluation, high complexity |
97164 | GP | Physical therapy re-evaluation |
97110 | GP | Therapeutic procedure, exercises |
97112 | GP | Neuromuscular therapy |
97116 | GP | Gait training therapy |
97140 | GP | Manual therapy techniques |
97530 | GP | Therapeutic activities, direct (one-on-one) |
97150 | GP | Group therapeutic procedures |
97542 | GP | Wheelchair management |
Refer to Rehabilitative Service Codes for Occupational Therapy, Physical Therapy and Speech-Language Pathology for more codes.
Adaptive Transportation
HCPCS Code | Required Modifier | Description |
T2003 | TM | Nonemergency transportation, encounter/trip Effective for dates of service on or after July 1, 2026, bill adaptive transportation services with the TM modifier. |
T2001 | No modifier required | Attendant or aide Valid for dates of service through June 30, 2026. Discontinued effective July 1, 2026 |
Speech-Language Pathology (SLP)
CPT Code | Required Modifier | Description |
92521 | GN | Evaluation of speech fluency |
92522 | GN | Evaluation of speech sound production |
92523 | GN | Evaluation of speech sound production with evaluation of language comprehension and expression |
92524 | GN | Behavioral and qualitative analysis of voice and resonance |
92507 | GN | Treatment of speech, language, voice, communication or auditory processing disorder; individual |
92508 | GN | Treatment of speech, language, voice, communication or auditory processing disorder; group (two or more individuals) |
92526 | GN | Treatment of swallowing dysfunction or oral function for feeding |
92605 | GN | Evaluation for prescription of nonspeech generating augmentative and alternative communication devices, face-to-face with patient; first hour |
92607 | GN | Evaluation for prescription speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour |
92609 | GN | Therapeutic services for use of speech-generating device, including programming and modification |
96105 | GN | Assessment of aphasia with interpretation and report, per hour |
96125 | GN | Standardized cognitive performance testing |
97129 | GN | Cognitive function intervention, initial 15 minutes |
97130 | GN | Cognitive function intervention, each additional 15 minutes |
Refer to Rehabilitative Service Codes for Occupational Therapy, Physical Therapy and Speech-Language Pathology for more codes.
Modifier Key
GN = Speech-language pathology services
GO = Occupational therapy services
GP = Physical therapy services
HA = Adolescent
HE = Direction of MHBA
HK = Specialized program
HM = Level II (MHBA)
HN = Clinical trainee or practitioner
HQ = Group services
HR = Family service with individual present
HS = Family service without individual present
NU = Items that are purchased
RA = Items being installed as a replacement
RB = items being repaired
RR = Items that are rented
TM = Individual education plan
UA = Children’s Therapeutic Services and Supports
U1 = Dialectical Behavior Therapy (DBT) identifier
U3 = Required for all tablets, tablet accessories, and related services
U6 = Interactive
U8 = Clinical care consultation identifier
XE = Identify additional transportation trip per day
XP = Identify that another school or school district with a different NPI will be billing for the same service on the same day as the date of service on the claim
52 = Reduced service
59 = Distinct procedural service (separate encounter)
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