What CPT code is 90837?
TL;DR, CPT code 90837 is for a 53+ 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.
What is the modifier for 90837?
modifier 95
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).
What is a 59 modifier physical therapy?
Modifier 59 is used to identify procedures [and/or] services that are not normally reported together, but are appropriate under the circumstances.
Is 90837 an add on code?
Key facts for utilizing the interactive complexity add-on code. Can be reported with appropriate primary procedure (90791, 90832, 90834, 90837, or 90853) if at least one of four specific complicating factor(s) are present.
Is 90837 a telehealth code?
90837 – Psychotherapy for 55+ Minutes. +90836 – Add On CPT Code for Individual Psychotherapy.
Does CPT code 90837 require a modifier?
You can use an HO modifier with all of the standard procedure codes for mental health. 90791, 90834, 90837, etc.
When should modifier 59 be used?
Modifier 59 should be used to distinguish a different session or patient encounter, or a different procedure or surgery, or a different anatomical site, or a separate injury. It should also be used when an intravenous (IV) protocol calls for two separate IV sites.
When should a 59 modifier be used with physical therapy?
Therapists often use modifier 59 to bill for “two timed code procedures [that] are performed sequentially in the same encounter.” For instance, if you billed CPT codes 97140 (Manual Therapy) and 97530 (Therapeutic Activities)—and you provided those services during separate and distinct 15-minute intervals—then, as …
What is the difference between 90834 and 90837?
Both 90834 and 90837 are designed to bill for the same service – psychotherapy. The primary distinguishing factor between the two codes is time; 90834 is defined as 45 minutes of psychotherapy, while 90837 is defined as 60 minutes.
How do you justify 90837?
your client may have a trauma history: “90837 is medically necessary because significant trauma hx necessitates taking time to create safe space for disclosure and then containment.” Or: “90837 is medically necessary to address complicated diagnosis and clinical presentation.”