Cpt code 90809

Top CPT Codes for Mental Health Billing – My Clients Plus

While precision in how you use CPT codes may not seem of utmost significance, in fact, using the correct CPT codes for the mental health services you provide is important for two major reasons. When your claims include the right codes, they’ll be accepted in a more timely manner, ensuring you have the necessary cash flow to operate your practice. Perhaps more urgently, coding mistakes could cause your practice to be audited, and errors could result in fines. In this post, we’ll cover what you need to know about using CPT codes and the most common codes you should become familiar with.

What are CPT Codes for Mental Health?

The Current Procedural Terminology (CPT) code set describes tests, evaluations, treatments, and other medical procedures used in the spectrum of healthcare. The set contains over 8,000 codes and is published and updated annually by the American Medical Association. It was created to track healthcare trends and issues as well to use in the claims submission process. The codes communicate to payers what procedures you need to be reimbursed for as a provider.

The codes related to mental health (codes 90785-90899) are found in the Psychiatry section of the CPT code set and cover services provided by medical professionals, such as psychiatrists, as well as services that can be delivered by non-medical professionals such as licensed clinical psychologists, licensed professional counselors, licensed marriage and family therapists, and licensed clinical social workers.

Categories of Mental Health CPT Codes

The mental health CPT codes used by therapists are organized into four distinct categories. These categories make it easier to find the code you’re looking for.

Psychiatric Diagnostic Interview

Code 90801: Psychiatric diagnostic interview examination
Code 90802: Interactive psychiatric diagnostic interview examination

Psychiatric Therapeutic Services

Codes 90804-90809: Insight-oriented, behavior modifying and/or supportive psychotherapy
Codes 90810-90815: Interactive psychotherapy

Family Medical Psychotherapy

90846: Family psychotherapy (without the patient present)
90847: Family psychotherapy (with the patient present)
90849: Multiple-family group psychotherapy

Group Psychotherapy

90853: Group psychotherapy (other than a multiple-family group)
90857: Interactive group psychotherapy

Common Mental Health CPT Codes

While there are many codes that may be applicable to mental health services more broadly, in a therapy setting, you’ll probably find yourself using only a relatively small subset of these codes. Learning the most common CPT codes for mental health will help you choose the best code for each service you provide. Here are the most common codes that you’ll encounter as a therapist.

90837 — Psychotherapy, 60 minutes

Description: Individual psychotherapy, 60 minutes, with client and/or family member.

Time: 60 minutes (functionally between 53 and 60 minutes)

90834 — Psychotherapy, 45 minutes

Description: Individual psychotherapy, 45 minutes, with client and/or family member.

Time: 45 minutes (functionally between 38 and 52 minutes)

90791 — Psychiatric diagnostic evaluation without medical services

Description: Initial diagnostic interview exam that does not include any medical services. Includes a chief complaint, history of present illness, family and psychosocial history, and complete mental status examination. (Use code 90792 for an initial evaluation with medical services.)

Time: Not time-based

90847 — Family psychotherapy (with client present), 50 minutes

Description: Family psychotherapy (conjoint psychotherapy) (with client present). (Can also be used for couples therapy.)

Time: 50 minutes

90853 — Group psychotherapy (other than of a multiple-family group)

Description: Group psychotherapy (other than of a multiple-family group). Relies on the use of interactions of group members to examine the pathology of each individual within the group. The dynamics of the entire group are noted and used to modify behaviors and attitudes of the client members. (Used to report per-session services for each group member.)

Time: Not time-based

90846 – Family psychotherapy (without client present), 50 minutes

Description: Therapy session intended to aid the treatment of the client, where the family of a client is present without the client being present.

Time: 50 minutes

90875 – Under other psychiatric services or procedures

Description: Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the client), with psychotherapy (e. g., insight-oriented, behavior modifying, or supportive psychotherapy).

Time: 20-30 minutes

90832 – Psychotherapy, 30 minutes

Description: Individual psychotherapy, 30 minutes

Time: 30 minutes (functionally between 16 – 37 mins)

90838 – Psychotherapy, 60 minutes, with E/M service

Description: Individual psychotherapy, 60 minutes with client and/or family member when performed with an evaluation and management (E/M) service.

Time: 60 minutes (functionally between 53 and 60 minutes)

99404 — Under preventive medicine, individual counseling services

Description: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure)

Time: 60 minutes (functionally between 53 and 60 minutes)

CPT Code Modifiers

Code modifiers provide additional information to a payer. Modifiers can describe the license level of provider, when services were provided, and how the services were provided, among other things. Here are four modifiers that you may encounter.

Modifier 25 — Typically, a single code will accurately describe a session. But occasionally, you may find that a fully separate E/M service is needed (performed by the same provider) on the same day. Modifier 25 is used in these situations, as it calls out that service as separate and reimbursable. Note that you can only attach modifier 25 to codes 99201-99215, 99341-99350.
Modifier 59 — Similar to modifier 25, this modifier is used to describe a distinct non-E/M procedural service done on the same day. Note that your documentation must support a separate session.
Modifier GT — Used for telehealth sessions involving interactive audio and video.
Modifier UT — Used when the provider sees a patient in crisis.

When you understand how CPT codes work and have a firm knowledge of the codes you’ll use most often in your therapy practice, you’ll increase your claims submission rate and reduce the likelihood of being flagged for inappropriate coding. Beyond the practicality of improving cash flow, accurate coding delivers peace of mind since you won’t have to worry about whether or not you’re using CPT codes correctly.

(2022) CPT Codes For Psychotherapy

Psychotherapy sessions can be reported with CPT 90832, CPT 90833, CPT 90834, CPT 90836, CPT 90837, and CPT 90838. Below are the descriptions and billing guidelines for the psychotherapy CPT codes.

1. What Is CPT 90832?

CPT code 90832 may be reported if a provider performed psychotherapy to treat the psychiatric disorders of a patient. This treatment can last between 16 and 27 minutes.

1.1 Description

CPT 90832 is officially described by the CPTs manual as follows: “Psychotherapy, 30 minutes with the patient.”

1.2 Procedure

Psychotherapy is a type of talk therapy, and various techniques can be used to treat patients’ emotional and/or mental health. It is an interactive process between a patient and a provider. The aim is to explore behavior, feelings, and thoughts.

1.3 Billing Guidelines

Report CPT code 90832 if a psychotherapy session crosses 16 minutes (the halfway mark of 30 minutes).

You can bill this code if the provider provides a psychotherapy session with the patient that lasts a minimum of 16 minutes and a maximum of 37 minutes. The psychotherapy session needs to be done face to face without additional E/M services.

It is not allowed to report psychotherapy sessions that take less than 16 minutes.

2. What Is CPT 90833?

CPT code 90833 is an add-on code and can be used when an additional E/M service is provided during a psychotherapy session. This can take between 16 and 37 minutes.

2.1 Description

CPT 90833 is an add-on code for psychotherapy sessions and officially described in CPTs manual as: “Psychotherapy, 30 minutes with the patient when performed with an evaluation and management service.”

2.2 Procedure

This procedure is the same as described in CPT 90833. The face-to-face psychotherapy session can last between 16 and 37 minutes.

2.3 Billing Guidelines

Report CPT code 90833 separately as an add-on code to the primary E/M code. Since CPT 90833 is an add-on code, payers won’t reimburse this code if it is not reported with an appropriate primary E/M code.

Report this add-on code only with CPT 99202 until CPT 99255, CPT 99304 until CPT 99337, and CPT 99341 until CPT 99350.

CPT code 90834 can be billed if a provider performed a psychotherapy session that takes between 38 and 52 minutes.

A provider performs face-to-face psychotherapy sessions with a patient to treat thoughts, feelings, or behavior. This can be done with various techniques.

The average time spent on a psychotherapy session, as defined by CPT 90834, is 45 minutes, but it can last between 38 minutes and 52 minutes.

You can find the complete billing guide for CPT code 90834 here.

3.3 Billing Guidelines

Report CPT 90834 if the psychotherapy session lasts around 45 minutes. This code will be denied if the time is less than 38 minutes or more than 52 minutes. Any additional E/M services need to be billed separately.

4. What Is CPT 90836?

This add-on code can be used if a provider provided a psychotherapy session that takes between 38 to 52 minutes and provided also an E/M service at the same time.

4.1 Description

CPT 90836 is an add-on code for psychotherapy and is officially described by the CPTs manual as: “Psychotherapy, 45 minutes with the patient when performed with an evaluation and management service”.

4.2 Procedure

The provider performs a psychotherapy session that takes about 45 minutes. During this session, he or she performs an addiontal evaluation and management service.

4.3 Billing Guidelines

Report CPT code 90836 if the provider spent at least 38 minutes and a maximum of 52 minutes on a face-to-face psychotherapy session while performing a separate E/M service.

Be aware that this is an add-on code. You won’t be reimbursed if you report his code without the appropriate primary Evaluation and Management service code.

You can report CPT 90836 with CPT 99202 until CPT 99255, CPT 99304 until CPT 99337, and CPT 99341 until CPT 99350.

CPT code 90837 is another psychotherapy code that can be billed for sessions that last 53 minutes or more.

On average, the provider performs a face-to-face psychotherapy session with a patient that lasts 60 minutes. But this code can be billed for sessions that take 53 minutes or longer.

You can find the complete billing guide for CPT code 90837 here.

5.3 Billing Guidelines

Report CPT 90837 only if the psychotherapy session is performed without additional E/M services. Do not report his code if the session lasts less than 53 minutes.

You can report psychotherapy sessions that are not performed with an E/M service that lasts 90 minutes or linger with CPT 99354, CPT 99355, CPT 99356, or CPT 99357.

6. What Is CPT 90838?

CPT 90838 is similar to CPT 90837. The difference is that a provider performs an additional E/M service during the psychotherapy session. The session can last 53 minutes or more.

6.1 Description

This add-on code can be found in the CPTs manual as CPT 90838 and is officially described as: “Psychotherapy, 60 minutes with the patient when performed with an evaluation and management service.”

6.2 Procedure

The provider sits down with a patient and provides a psychotherapy session that lasts at least 53 minutes. During this session, the provider performs an additional E/M service.

6.3 Billing Guidelines

Report this add-on code if the session lasts between 53 and 60 minutes. Make sure to bill the primary E/M service as well. Otherwise, payers won’t reimburse CPT 90838 because it is an add-on code.

You can report this add-on code with CPT 99202 until CPT 99255, CPT 99304 until CPT 99337, and CPT 99341 until CPT 99350.

If the psychotherapy session includes interactive complexity services, report CPT 90838 with CPT 90832, CPT 90833, CPT 90834, CPT 90836, CPT 90837, or CPT 90838.

7. Resources

http://www.ama-assn.org/system/files/telehealth-services-covered-by-medicare-and-included-in-cpt-code-set.pdf

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57520&ver=23&

90809 LOT No. 32 (898/920) non-residential building area 35 sq.m. cad No. 34:35:020104:707 and a land plot of 600 sq.m. cad No. 34:35:020104:103...

LOT No. 32 (898/920) non-residential building area 35 sq.m. cad No. 34:35:020104:707 and a land plot of 600 sq.m. cad No. 34: 35: 020104: 103 ... No. 90809, used confiscation for sale, auction in the Volgograd region, SNT Gifts of Nature

Auction of confiscated, pledged, arrested property: LOT No. 32 (898/920) non-residential building, area 35 sq.m. cad No. 34:35:020104:707 and a land plot of 600 sq.m. cad#34:35:020104:103. Owner: Kuzin V.V. Bidding category - auction Building, Volgograd region , SNT Gifts of Nature, notice number, lot 050722/51098434/01.

Update data for auction

Last update: 2022-07-15

General information

Status:

announced

Applications:

from 06/06/2022 to 01. 08.2022

Carrying out:

05.08.2022

Number of notice, Lot:

050722/510984344/01 , No.

Auction type:

Open auction

Region:

Volgograd region

trading platform:

phone number:

(8442) 264729

E-mail organizer:

[email protected]

Cost

Starting price initial price initial price initial price initial price initial price initial price was initial price initial price initial price was initial price initial price was initial price :

1 143 250 p

Auction step:

0 p

Deposit amount:

180 000 p

Auction object

90. How to buy LOT №32(898/920) non-residential building area 35 sq.m. cad No. 34:35:020104:707 and a land plot of 600 sq.m. cad#34:35:020104:103. Owner: Kuzin V.V. registration ban

Procedure for participation in the auction

Applications, with documents attached, for all lots for participation in the auction are accepted from July 06, 2022. to August 01, 2022 in accordance with the Regulations of the ETP. Consideration of applications and summarizing the results of the submitted applications is carried out on August 03, 2022. Bidding, in the form of an auction, open according to the composition of participants and the form for submitting a price offer (step - 2%), will be held on the electronic trading platform (hereinafter referred to as the ETP), at the Internet address: https://arest.vertrades.ru/ August 05, 2022 at 10:00. nine0005

The deposit must be paid no later than August 01, 2022 to the settlement account of account 40102810445370000021, account 03212643000000012900 (when paying, be sure to indicate both accounts, BIC 011806101, field 22 "Code" - 0001, recipient - UFK in the Volgograd region (TU ROSIMU in the Volgograd region, l/s 05291A18490) TIN 3444168900, KPP 344401001, KBK -0, OKPO: 34692535, OGRN: 10934444002684. Department of Volgograd // VOFK in Volgograd Region Volgograd, BIK 011806101 ..

.. Came Came Came Custom Additional information about the subject of the auction and the procedure for conducting it can be found on the website https://arest. vertrades.ru/, http://torgi-gov.ru, tu34.rosim.ru, and also at the address: Volgograd, st. Kalinina 13 floor 13, Tuesday and Thursday from 14:00 to 17:00 Telephone for information: 8(909) 3816606 or upon request by e-mail [email protected]. The specified contract and protocol on the results of public auctions are the basis for entering the necessary information into the Unified State Register of Real Estate. nine0079 consent to processing

Bid Application Form

template for the return of the deposit

Decree on the removal of the arrest from the property of the Soviet ROSP UFSSP of Russia for the Volgograd Region dated 07/13/2022

Decree on the withdrawal of property from the sale of the Traktorozavodsky ROSP UFSSP of Russia for the Volgograd Region dated July 12, 2022

nine0079 Decree on the withdrawal of seized property from sale at the auction of Kalachevsky ROSP UFSSP of Russia for the Volgograd Region dated 07/06/2022

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Gearbox coding

The registration reason code (PPC) is a nine-digit numeric code, where (from left to right):

•	the first two digits are the code of the subject of the Russian Federation in accordance with Article 65 of the Constitution;

•	third and fourth characters - the code of the State Tax Inspectorate, which carried out the registration of the organization at its location or at the location of its real estate and vehicles;

•	fifth and sixth digits - code of reason for registration; nine0111

•	seventh, eighth and ninth digits - serial number of registration for the corresponding reason.

Note 1: the first 4 characters of the checkpoint form the subdivision code of the Federal Tax Service of Russia.

Note 2: the term "standard checkpoint" means a checkpoint where the first four digits correspond to the TIN (i.e. the code of the division of the Federal Tax Service of Russia), and from 5 to 9 "01001".

nine0155

Reason code

(5th and 6th gear symbol)

Description of the meaning of code

Registration with the tax authority of a Russian organization as a taxpayer at its location

Registration of a taxpayer - a Russian organization at the location of its separate subdivision, depending on the type of subdivision

Registration of a taxpayer - a Russian organization at the location of its branch, not acting as an organization for the payment of taxes and fees

Registration of a taxpayer - a Russian organization at the location of its separate subdivision, depending on the type of subdivision

nine0111

Registration of a taxpayer - a Russian organization at the location of its separate subdivision, depending on the type of subdivision

Registration of a taxpayer - a Russian organization at the location of its real estate (excluding vehicles) - depending on the type of property

Russian organization - tax agent, not accounted for as a taxpayer

Registration of a taxpayer - a Russian organization at the location of a separate subdivision, in respect of which the registration procedure was not carried out in accordance with paragraph 3 of Article 55 of the Civil Code of the Russian Federation, acting as an organization for the payment of taxes and fees

Registration of a taxpayer - a Russian organization at the location of a separate subdivision, in respect of which the registration procedure has not been carried out in accordance with paragraph 3 of Article 55 of the Civil Code of the Russian Federation, which does not fulfill the obligations of an organization for the payment of taxes and fees

Registration of a Russian organization at the location of its branch (similar to the old codes "02", "03" - Letter of the Ministry of Finance of the Russian Federation of 02.

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