MedicaidBilling CodesMedium impact
Revisions to the upcoming Substance Use Disorder (SUD) outpatient billing changes
Minnesota Medicaid (MHCP)·MN · Psychiatry·Claims & Billing
We identified it
Jun 17, 2026
Summary
Minnesota Department of Human Services is implementing new 15-minute outpatient Substance Use Disorder (SUD) billing procedure codes effective in 2025, pending federal approval. Billing will use existing revenue codes (0944, 0945, 0953) and current claim formats (837I/837P) with no changes to claim structure or new revenue code requirements.
Action Required
Upon federal approval and announcement of effective date: (1) Billing team must obtain and load new 15-minute SUD outpatient procedure codes into billing system; (2) Configure billing software to map new codes to existing revenue codes 0944, 0945, and 0953 for 837I claims; (3) Verify claim format settings remain unchanged (837I or 837P); (4) Train billing staff on new procedure code selection and 15-minute unit billing increments; (5) Update H2035 crosswalk documentation in billing procedures; (6) Test claims in staging environment before go-live. Monitor Minnesota DHS website for specific effective date announcement and new code identifiers. Claims submitted with incorrect revenue codes or new revenue codes will be denied.