Wiki mental health counseling service

[akj]

If psychotherapist meets patient at McDonalds for a face to face session, what CPT is used? What location is used? Also, for a walk and talk session that starts and ends at office, is it pos 11?

 

[TThivierge]

If psychotherapist meets patient at McDonalds for a face to face session, what CPT is used? What location is used? Also, for a walk and talk session that starts and ends at office, is it pos 11?

Hi Akj
LMH or LCSW can use CPT 90785 interactive psych therapy which can be billed with 90832-90835 and 90792 and 90791. However this interactive can be walking .
Check out pages 757 in the 2024 yr. CPT manual. LMH or LCSW or psychiatrist MD can use CPT 90785 interactive psych therapy which can be billed with 90832-90835 and 90792 and 90791. However this interactive can be walking and talking on park bench setting or outside the office garden or patio . Ensure pt sign special consent or state in medical record for the day therapist got special permission pt. agreed to do this setting. Add in notations it is in park setting or doing a walk n talk for so many minutes to relax patient or do the forest bathing more relaxing setting to open up. Also use some of the R45 dx if therapist add in notations worries, unhappiness, from the patient s feelings. This is in conjunction with the F32 or F41 dx codes or dx Z63 if applicable.
I hope this data helps you
Lady T