Wiki Psychotherapy Crisis Sessions

Angelaw1

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Salem, OR
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Hello, I have a Licensed Marriage and Family Therapist who had her normal, scheduled psychotherapy session with an established patient that was 60 minutes long, however at the end of the session, the patient became suicidal and the provider couldn't just end the session, and another 30 minutes was spent face-to-face with the patient. The provider submitted CPT code 90837 for the first hour, and 90839 for the crisis session, however it is mu understanding that these codes can't be billed together. I am leaning towards and did recommend to the provider that since the session escalated into a crisis session, that therefore we should bill the entire session with crisis codes 90839 and 90840 since it was a total of 90 minutes. Does this sound right and does anyone have any other suggestions?
 
I agree with you. This scenario happens and we have always billed it as crisis combining the time if by the same provider.
 
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