CPT^® 90838, Under Psychotherapy Services and Procedures

The Current Procedural Terminology (CPT^®) code 90838 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 a minimum of 53 minutes.

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View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 90838 ? 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 ]

90791 and prolonged services

Hello all! I'm new to billing for Behavior Health/Mental Health services. I do have coding experience for regular E/M services, just not BH/MH. We have a Psychiatrist, Psychologist and LCSW in our ... [ 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 ]

emergency dept visit & psychotherapy

I know the CPT guidelines state that ED visits are not appropriate primary codes for 90833/90836/90838. We have a provider that is adamant that these are billable. I am unable to find concrete evidenc... [ Read More ]

Resident Physician supervision for services

:( my bad. I have 2 separate issues that I'm working through and accidently combined them here. My question is for the Individual Psychotherapy (90832-90838) billing with supervision. For a Resident ... [ Read More ]

Therapy Billing

[QUOTE="SharonCollachi, post: 481171, member: 654943"] Generally, each patient will have an individual evaluation to determine if they are a good fit for group therapy. If your provider is an MD, th... [ Read More ]

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