CPT^® 90836, Under Psychotherapy Services and Procedures

The Current Procedural Terminology (CPT^®) code 90836 as maintained by American Medical Association, is a medical procedural code under the range - Psychotherapy Services and Procedures.

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Summary

In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the same session. The treatment session typically lasts for anywhere between 38 to 52 minutes.

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View matching HCPCS Level II codes and their definitions.

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Have a question about CPT Code 90836 ? Start a discussion here

Query regarding LCD

CPT codes: 90785, 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847 and 90853. ICD-10-CM Codes that Support Medical Necessity Article ID A57520 Article Title Bi... [ Read More ]

E/M with Psychotherapy Add On vs. Straight Psychotherapy (Cross Posted)

I've posted this to the Behavioral Health forum as well I am looking for assistance understanding when a provider, psychiatrist in this case, should bill am E/M code and psychotherapy add-on and when... [ Read More ]

E/M with Psychotherapy Add On vs. Straight Psychotherapy

I am looking for assistance understanding when a provider, psychiatrist in this case, should bill am E/M code and psychotherapy add-on and when it is more appropriate to bill just the psychotherapy co... [ Read More ]

Psychiatric Nurse Practioner

Patient scheduled for Medication Management but arrives for appointment in crisis. Provider not only manages medication but documents 45 minutes of therapy time for coping skills and billed both an E... [ Read More ]

Psychotherapy performed same-day as E/M service by clinician

For Psychiatrist, we can use enm codes along with add-on 90833,90836,90838 for that visit and for psychologist, we can code 90837,34,32. I think... [ Read More ]

Cigna/Virtual Care Policy and Psychotherapy 90832 90833 90834 90836 90837 90838 cigna psychotherapy telehealth virtual care

Hello, We have recently become aware that Cigna is no longer covering psychotherapy 90832 through 90838 via Virtual/Telehealth. We started noticing denials of this before their Virtual Care Reimbursem... [ Read More ]

Psychotherapy performed same-day as E/M service by clinician

An E/M (99202-99215) with a psychotherapy add-on code (90833, 90836 & 90838) can only be assigned by providers who are qualified to perform evaluation and management services. A clinician (therapist) ... [ Read More ]

Psychotherapy performed same-day as E/M service by clinician

I've worked as a Psych Coder for a Community Mental Health Center for a numver of years. We have both prescribers doing medication management and clinicians doing therapy. Often our clients have both ... [ Read More ]

Does using MDM to determine level of E&M require a minimum time limit for the E&M?

Hi there, Short answer: No. E/M coding is based either on MDM [I]or [/I]time. Longer answer - from the 2022 CPT Manual: [QUOTE] Some psychiatric patients receive a medical evaluation and management ... [ Read More ]

Psych Visit Coding

If psychotherapy was performed by the PA, then you can bill the add on code 90836. Why do you think a 90785 is warranted? I'm not seeing it on the information presented.... [ Read More ]

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