shaggerty88
New
Hey there! I was wondering if we might be able to use 90834 and bill for 2 units for those longer sessions. I'm not super confident this will work, but I was asked to share the idea.
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Wiki Using 90834 and putting 2 units
- Thread starter shaggerty88
- Start date
amyjph
True Blue
No. The code is 45 minutes (38-52 mins). That would not make sense. If it is 53 or more minutes, why wouldn't you use 90837?
I would suggest reading the CPT book and guidelines at the beginning of the psychotherapy code range. The fifth paragraph explains how to code by time. Also read the time usage instructions at the beginning of the CPT book.
There is an MUE of 2 on 90834 but that is for rare circumstances where two, separate sessions may occur on the same day, not for 2 units on one line for a longer time.
Some of the MACs have articles and info, you have to make sure you are looking at the correct one for your region. This is just an example:
Other reference (last updated 2023)
www.apaservices.org
https://www.apaservices.org/practice/reimbursement/health-codes/psychotherapy-services-faq (last updated 2020)
Health plans may have their own rules and policies which you would have to check.
AMA resources https://gateway.on24.com/wcc/eh/3346741/category/91855/behavioral-health-integration
I would suggest reading the CPT book and guidelines at the beginning of the psychotherapy code range. The fifth paragraph explains how to code by time. Also read the time usage instructions at the beginning of the CPT book.
There is an MUE of 2 on 90834 but that is for rare circumstances where two, separate sessions may occur on the same day, not for 2 units on one line for a longer time.
Some of the MACs have articles and info, you have to make sure you are looking at the correct one for your region. This is just an example:
Other reference (last updated 2023)
Psychotherapy codes for psychologists
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.
www.apaservices.org
Health plans may have their own rules and policies which you would have to check.
AMA resources https://gateway.on24.com/wcc/eh/3346741/category/91855/behavioral-health-integration