What does CPT code 90837 mean?

psychotherapy session53+ minute psychotherapy session. It’s one of the most commonly used codes for a typical psychotherapy session. It pays a little better than CPT code 90834 which is for briefer sessions.

Can 90837 and 90832 be billed together?

Medication management (evaluation and management) and psychotherapy Do not bill CPT codes 99201-99215 and 90832 or 90834 or 90837. It is acceptable to bill CPT codes 99201-99215 and 90833 or 90836 or 90838. Behavioral health assessment/evaluation and psychotherapy Do not bill CPT codes 90791-90792 and 90832- 90838.

What is the CPT code for 15 minutes?

Use code 96168 for each additional 15 minutes. Code 96155 is now 96170 plus 96171: Code 96155 for a face-to-face family health behavior intervention without the patient present is now 96170 for the first 30 minutes. Use code 96171 for each additional 15 minutes.

How often can 90837 be billed?

Can I use 90837 for all my sessions? Theoretically, yes. But practically, no. The CPT code is based on face-to-face time, meaning you can only bill for the time actually spent with the client.

Is 90837 an add-on code?

Since it is an add-on code it must be billed with 90837 or 90847 (90791 and 90834 are not allowed). Services performed outside of business hours. Planned services performed in the evening, weekend, or during a holiday.

How many minutes is a 90837?

60 minutes

90837 – Psychotherapy 60 minutes. Some health insurance companies may consider 90834 as the standard psychotherapy session. In such cases when reporting 90837, it would be beneficial to document in the clinical record why the longer service was warranted rather than the shorter service.

Who can Bill 90837?

Psychologists who conduct sessions that require more than 60 minutes should report CPT^® code 90837: Psychotherapy, 60 minutes with patient. Regardless of how long the session lasts, the psychologist’s reimbursement will be based on the payment amount ultimately associated with 90837.

What is the difference between 90837 and 90838?

For 38 to 52 minutes of psychotherapy, you would use the 45-minute code, either 90834 or 90836; and for 53 minutes and beyond, you would use 90837 or 90838, the 60-minute codes.

How do you justify 90837?

How should I bill 90837?

Psychotherapy times are for face-to-face services with the patient and/or family member.
The patient must be present for all or some of the service.
In reporting, choose the code closest to the actual time (i.e., 53 or more minutes for 90837).
Document start and end times.

When can you use 90837?

As defined by the CPT, 90834 should be used when you spend an estimated 38–52 minutes on therapy with the client, and 90837 is for all therapy sessions that are at least 53 minutes long.

Does 90837 require a modifier?

You can use an HO modifier with all of the standard procedure codes for mental health. 90791, 90834, 90837, etc.

What modifiers are used with 90837?

If you provided 60 minutes of telemedicine, you would code 90837 with modifier 95. (Note: Many clients don’t have coverage for telehealth. Also, payers have previously asked providers to use the GT modifier to indicate a telehealth session, so it is a good idea to check with plans before billing).

How Much Does Medicare pay for 90837?

What is the difference between the “facility rate” and “nonfacility rate” for telehealth services?

Code	Service	2021 Facility Rate
90832	Psychotherapy 30-minutes	$68.74
90837	Psychotherapy 60-minutes	$132.69
96132	Neuropsych Test Eval	$106.08
96158	Hlth Bhvr Intrv Indvl	$58.97

How do you code teletherapy?

In behavioral health, the modifier 95 is added to the original code to signify teletherapy. For example, you would add the 95 modifier to 90834 to signify a 45-minute teletherapy session (i.e., 90834-95). To be billed with this modifier, a face-to-face video session needs to have occurred.

Is 90837 a telehealth code?

90832 – Psychotherapy for 30 Minutes. 90834 – Psychotherapy for 45 Minutes. 90837 – Psychotherapy for 55+ Minutes.

Can 90837 and 90846 be billed together?

Codes 90832, 90833, 90834, 90836, 90837, 90838 can be reported on the same-day as codes 90846 and 90847, provided that the services are separate and distinct. Be sure to include modifier 59 to emphasize that the services are separate and distinct. Do not report psychotherapy codes for sessions shorter than 16 minutes.

What is CPT code?

The Current Procedural Terminology (CPT®) codes offer doctors and health care professionals a uniform language for coding medical services and procedures to streamline reporting, increase accuracy and efficiency.

What does a CPT code look like?

A CPT code is a five-digit numeric code. It has no decimal marks. Some have four numbers and one letter. Codes are assigned to different actions.

How do I find my CPT codes?

Visit the AMA Store for coding resources from the authoritative source on the CPT code set. You’ll find print and digital versions of the codebook, online coding subscriptions, data files and coding packages.

Where can I look up CPT codes for free?

Here’s a step-by-step guide on how to look up CPT codes for free:

Step #1: Go to AMA website and Create an Account.
Step #2: There you will find an End-User License Agreement. …
Step #3: Click on AGREE. …
Step #4: Once you click on “AGREE”, it will take you to the next page which is your search page.

How many CPT codes are there in 2021?

There are a total of 329 CPT code changes for 2021, including 206 code additions, 54 code deletions, and 69 code revisions. The graph below shows a summary of the changes for each CPT code section.

Is a CPT code a diagnosis code?

ICD-10-CM diagnosis codes provide the reason for seeking health care; ICD-10-PCS procedure codes tell what inpatient treatment and services the patient got; CPT (HCPCS Level I) codes describe outpatient services and procedures; and providers generally use HCPCS (Level II) codes for equipment, drugs, and supplies for …

What are the 3 categories of CPT codes?

These codes are utilized to communicate with: other physicians, hospitals, and insurers for claims processing. There are three categories of CPT Codes: Category I, Category II, and Category III.

What are the most common CPT codes?

The most common CPT codes used by family physicians for medical billing are 99213 and 99214. The CPT system and CMS Evaluation & Management (E&M) rules state that 99213 can be used if a physician treats a patient for one stable chronic condition, such as stable cirrhosis of the liver.

What are the 2 types of CPT codes?

There are three types of CPT codes: Category 1, Category 2 and Category 3. CPT is a registered trademark of the American Medical Association.