CPT^® 90853, Under Other Psychotherapy Procedures

The Current Procedural Terminology (CPT^®) code 90853 as maintained by American Medical Association, is a medical procedural code under the range - Other Psychotherapy Procedures.

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Summary

Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of patients who are not members of the same family, involving no more than 12 participants, and leads the group therapy session for 45 to 60 minutes.

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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 90853

[QUOTE="laurenmowens@yahoo.com, post: 514934, member: 410398"] Thank you! Do you also know if a 90791 needs to be done prior to a 90853? [/QUOTE] Yes - 90791 is an diagnostic test . It is required bef... [ Read More ]

90791 and 90853

[QUOTE="sahni.vani@gmail.com, post: 514922, member: 284745"] Group Therapy involves Psychotherapy & also Code 90837 and 90853, may be used a NCCI-associated modifier to override the edit under appro... [ Read More ]

90853 minimum number of participants?

If you schedule group therapy 90853 but only one person shows up and they end up essentially having a 1 on 1 session, can you bill 90837?... [ Read More ]

90791 and 90853

Group Therapy involves Psychotherapy & also Code 90837 and 90853, may be used a NCCI-associated modifier to override the edit under appropriate circumstances.... [ Read More ]

90791 and 90853

Does a 90837 need to be billed prior to a 90853?... [ Read More ]

90853 and 90839 same day

Does anyone know if group session and psychotherapy crisis can be billed together on the same day for payment on both? The group visit was done and some chatter lead to the psychotherapy crisis being... [ Read More ]

Extended Group therapy Code?

[QUOTE="Arnkpc, post: 465314, member: 201216"] Hello, I just started a new job at a Behavioral Health Organization. I have been trying to help them improve upon their coding. One thing I haven't been ... [ Read More ]

3 hour Group Psychotherapy Medicare

In addition to the 90853, can I bill an extended service or a 90785 add on code to obtain higher reimbursement due to the 3 hour time on the group code? Thanks in advance.... [ Read More ]

Same Day services coding behavioral health

Has anyone ever billed for multiple different kinds of group therapy 90853 with the same provider on the same day? We were told by Tricare we could bill up to 4 distinct groups per day with modifier ... [ Read More ]

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