Medical Billing and Coding Resources
Basics of Modifier 95 Modifier 95: Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system. The modifier 95 was introduced in 2017 and is different from CPT or procedure codes, and describes the claim. Synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified healthcare professional […]
Basics of 90834 CPT Code 90834: Psychotherapy, 45 minutes with a patient in an outpatient setting. 90832, 90834, and 90837 describe individual psychotherapy services for the patient and may include an informant. The patient is required to be present for all or most of the service. The codes include an ongoing assessment and adjustment of […]
90853 CPT Code Description 90853 CPT Code represents psychotherapy administered in a group setting, involving no more than 12 participants, facilitated by a trained therapist simultaneously providing therapy to these multiple patients. The group therapy session typically lasts 45 to 60 minutes. Personal and group dynamics are discussed and explored in a therapeutic setting allowing […]
90846 CPT Code Description: Family psychotherapy (without the patient present), 50 minutes. 90847 CPT Code Description: family psychotherapy (with the patient present), 50 minutes. The main difference between these codes is that 90846 CPT code is used for appointments when the patient is not present, and 90847 CPT code is used for appointments when the […]
Add-on CPT Code 90833 – Use add-on code for Individual psychotherapy, insight-oriented, behavior modifying and/or supportive, 30 minutes with the patient and/or family member (time range 16-37 minutes), when performed with an evaluation and management service. Add-on CPT Codes 90833, 90836, 90838 To report both an E/M code and a psychotherapy add on code, the […]
When CPT codes for psychotherapy were revised in 2017, it became possible to bill for longer therapy sessions. The one being addressed in this blog is CPT Code 90837, which is 53 minutes or more. Many of us spend 55 to 60 minutes with clients anyway because, for many clients, the additional 10 -15 minutes […]
90832 CPT Code is an insurance billing procedure code describing individual psychotherapy services rendered for 30 minutes by a licensed mental health provider. Insurance companies require coders, billers, or therapists to use CPT Code 90832 for 30-minute routine outpatient therapy appointments. Appointments billed as 90832 may also include an additional family member or caregiver. 90832 […]
Procedure code 90791, along with 90834 and 90837, is one of the most frequently billed CPT codes for licensed behavioral health providers. In this article, we answered one of the most asked questions about CPT Code 90791 i.e. ‘How Often Can You Bill 90791?’. We also provided detailed information on accurately using CPT Code 90791 […]
According to the American Academy of Child & Adolescent Psychiatry, “interactive complexity refers to 4 specific communication factors during a visit that complicates the delivery of the primary psychiatric procedure.” It is reported with the CPT Code 90785. Interactive Complexity (90785) is an add-on code specific for psychiatric services and refers to communication difficulties during […]
All mental health professionals including psychologists, psychiatrists, nurses, and social workers delivering psychotherapy services use the same applicable CPT® codes when billing clients and filing health insurance claims with third-party payers, including Medicare, Medicaid, and private health insurance carriers. The top 10 Psychotherapy CPT Codes Billed in 2019 by behavioral health providers and representatives are […]
