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Residential Care Facility individual psychotherpy

  1. Default Residential Care Facility individual psychotherpy
    Medical Coding Books
    When a pt has individual psychotherapy sessions and it runs for 55 minutes... the CPT codes are for 45-50 minutes then it goest to 75-80 minutes.... do I chose the one for 45-50 or 75-80?

    CPT codes are 90818 & 90821

  2. Default residential care facility
    You cant do the second one because its more than what your looking might get in trouble for that...anyway its only 5 minutes more.

  3. #3
    I would not code for 75-80 min as documentation does not support. I code for DOD (department of defense) and what guidelines show is that we code to the lesser and add modifier 22. As always, documentation would need to support use of. Hope this helps.

  4. #4
    Jefferson County
    Default Therapy
    I would code 90818 and append modifer 22 to it.

  5. Default
    thanks everyone.... i appreciate your feedback!

  6. #6
    I would not append mod 22. The times given are an ESTIMATE only.

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