Minnesota Minnesota

Provider Manual

Provider Manual


Individualized Education Program (IEP) and Individualized Family Service Plan (IFSP) Health-Related Services Procedure Codes

Posted: February 4, 2026

  • · Overview
  • · Assistive Technology
  • · Audiology
  • · IEP services provided in school
  • · Interpreter Services
  • · Mental Health
  • · Evaluation and assessments
  • · Mental Health in Special Education (MH-SPED)
  • · School-based mental health – Children’s Therapeutic Services and Supports (CTSS)
  • · Nursing
  • · Occupational Therapy (OT)
  • · Personal Care Assistance
  • · Physical Therapy (PT)
  • · Special Transportation
  • · Speech-Language Pathology (SLP)
  • · Modifier Key
  • Overview

    Effective Oct. 1, 2025, Minnesota school-based IEP and IFSP health-related services will use discipline-specific current procedural technology (CPT) and healthcare common procedure coding system (HCPCS) codes.

    Assistive Technology

    HCPCS Code

    Required Modifier

    Description

    E2500

    No modifier required

    Speech-generating device, handheld

    E2502

    No modifier required

    Speech-generating device, message formulation required

    E2504

    No modifier required

    Speech-generating device, multiple methods

    E2506

    No modifier required

    Speech-generating device, digitized speech

    E2510

    No modifier required

    Speech-generating device, user message formulation

    E2511

    No modifier required

    Speech-generating device, multiple methods required

    E2512

    No modifier required

    Speech-generating device, software program

    E2599

    No modifier required

    Accessory for speech-generating device, NOC

    E2321

    No modifier required

    Power wheelchair accessory, input device

    E2322

    No modifier required

    Power wheelchair accessory, expansion device

    E1399

    No modifier required

    Durable medical equipment, miscellaneous

    Audiology

    CPT Code

    Required Modifier

    Description

    97550

    GN

    Self-care/home management training, initial (speech-language pathology services)

    97551

    GN

    Self-care/home management training, additional (speech-language pathology services)

    97552

    GN

    Group self-care/home management training (speech-language pathology services)

    92551

    GN

    Screening test, pure tone, air only (speech-language pathology services)

    92552

    GN

    Pure tone audiometry, air only (speech-language pathology services)

    92552

    GN, 59

    Pure tone audiometry, air only (speech-language pathology services, distinct procedural service (separate encounter))

    92553

    GN

    Pure tone audiometry, air and bone (speech-language pathology services)

    92553

    GN, 59

    Pure tone audiometry, air and bone (speech-language pathology services, distinct procedural service (separate encounter))

    92555

    GN

    Speech audiometry threshold (speech-language pathology services)

    92555

    GN 59

    Speech audiometry threshold [speech-language pathology services, distinct procedural service (separate encounter)]

    92556

    GN

    Speech audiometry with speech recognition (speech-language pathology services)

    92556

    GN 59

    Speech audiometry with speech recognition (speech-language pathology services, distinct procedural service (separate encounter))

    92557

    GN

    Comprehensive audiometry with speech recognition (speech-language pathology services)

    92567

    GN

    Tympanometry (speech-language pathology services)

    92567

    GN, 59

    Tympanometry (speech-language pathology services, distinct procedural service (separate encounter))

    92568

    GN

    Acoustic reflex testing (speech-language pathology services)

    92568

    GN, 59

    Acoustic reflex testing [speech-language pathology services, distinct procedural service (separate encounter)]

    92570

    GN

    Acoustic immittance testing (speech-language pathology services)

    92570

    GN, 59

    Acoustic immittance testing [speech-language pathology services, distinct procedural service (separate encounter)]

    92587

    GN

    Evoked otoacoustic emissions, limited (speech-language pathology services)

    92587

    GN, 59

    Evoked otoacoustic emissions, limited [speech-language pathology services, distinct procedural service (separate encounter)]

    92588

    GN

    Evoked otoacoustic emissions, comprehensive (speech-language pathology services)

    92588

    GN, 59

    Evoked otoacoustic emissions, comprehensive [speech-language pathology services, distinct procedural service (separate encounter)]

    92620

    GN

    Evaluation of central auditory function (speech-language pathology services)

    92620

    GN, 59

    Evaluation of central auditory function [speech-language pathology services, distinct procedural service (separate encounter)]

    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 S&R)

    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

    90832

    UA, HN

    Psychotherapy with patient or family member or both (by a clinical trainee)

    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

    Comp community support services – crisis assistance

    H2015

    UA, HN

    Comp community support services – crisis assistance (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

    OT evaluation, low complexity (occupational therapy services)

    97166

    GO

    OT evaluation, moderate complexity (occupational therapy services)

    97167

    GO

    OT evaluation, high complexity (occupational therapy services)

    97168

    GO

    OT re-evaluation (occupational therapy services)

    97530

    GO

    Therapeutic activities (occupational therapy services)

    97110

    GO

    Therapeutic exercise (occupational therapy services)

    97112

    GO

    Neuromuscular reeducation (occupational therapy services)

    97140

    GO

    Manual therapy techniques (occupational therapy services)

    97150

    GO

    Group therapeutic procedures (occupational therapy services)

    97542

    GO

    Wheelchair management training (occupational therapy services)

    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

    PT evaluation, low complexity (physical therapy services)

    97162

    GP

    PT evaluation, moderate complexity (physical therapy services)

    97163

    GP

    PT evaluation, high complexity (physical therapy services)

    97164

    GP

    PT re-evaluation (physical therapy services)

    97110

    GP

    Therapeutic exercise (physical therapy services)

    97112

    GP

    Neuromuscular reeducation (physical therapy services)

    97116

    GP

    Gait training therapy (physical therapy services)

    97140

    GP

    Manual therapy techniques (physical therapy services)

    97530

    GP

    Therapeutic activities (physical therapy services)

    97150

    GP

    Group therapeutic procedures (physical therapy services)

    97542

    GP

    Wheelchair management training (physical therapy services)

    Special Transportation

    HCPCS Code

    Required Modifier

    Description

    T2003

    UA

    Non-emergency transportation, encounter/trip

    T2001

    No modifier required

    Attendant or aide

    Speech-Language Pathology (SLP)

    CPT Code

    Required Modifier

    Description

    92521

    GN

    Evaluation of speech fluency (speech-language pathology services)

    92522

    GN

    Evaluation of speech sound production (speech-language pathology services)

    92523

    GN

    Evaluation of speech sound production with language evaluation (speech-language pathology services)

    92523

    52

    Evaluation of language only.

    92524

    GN

    Behavioral voice and resonance evaluation (speech-language pathology services)

    92507

    GN

    Speech, language, communication therapy, individual (speech-language pathology services)

    92508

    GN

    Group speech, language, communication therapy (speech-language pathology services)

    92526

    GN

    Treatment of swallowing/oral function for feeding (speech-language pathology services)

    92605

    GN

    Evaluation for prescription of non-speech-generating device (speech-language pathology services)

    92607

    GN

    Evaluation for prescription of speech-generating device (speech-language pathology services)

    92609

    GN

    Therapeutic services for use of speech-generating device (speech-language pathology services)

    96105

    GN

    Assessment of aphasia (speech-language pathology services)

    96125

    GN

    Standardized cognitive performance testing (speech-language pathology services)

    97129

    GN

    Cognitive function intervention (speech-language pathology services)

    97130

    GN

    Cognitive function intervention, additional (speech-language pathology services)

    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
    UA = Children’s Therapeutic Services and Supports
    U1 = Dialectical Behavior Therapy (DBT) identifier
    U6 = Interactive
    U8 = Clinical care consultation identifier
    XP = Separate encounter
    59 = Distinct procedural service (separate encounter)

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