What Is Procedure Code 90837?

What Is Procedure Code 90837

In the field of mental health and behavioral therapy, accurate billing and coding are essential for ensuring that healthcare providers receive appropriate compensation for their services. One of the most commonly used codes in this area is procedure code 90837. Understanding what this code represents and when to use it is crucial for mental health professionals and billing specialists alike.

Understanding Procedure Code 90837

Mental health professionals use procedure code 90837, a CPT (Current Procedural Terminology) code, to bill for psychotherapy services. Specifically, it represents a 60-minute session of individual psychotherapy with a patient. Psychologists, psychiatrists, licensed clinical social workers, and counsellors widely use this code to provide in-depth therapy sessions to patients?

Mental health professionals use procedure code 90837 when they conduct a psychotherapy session that lasts 60 minutes. It is important to note that this code is specifically for individual therapy sessions, where the focus is on one-on-one interaction between the therapist and the patient.

Mental health professionals typically use this code for sessions involving more intensive therapy, often addressing complex psychological issues such as major depressive disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and other serious mental health conditions. The session may include various therapeutic techniques, such as cognitive-behavioral therapy (CBT), psychodynamic therapy, or other evidence-based approaches, tailored to the patient’s needs.

How Is Procedure Code 90837 Different from Other Psychotherapy Codes?

Understanding the distinctions between different psychotherapy codes is essential for accurate billing. Here’s a comparison of procedure code 90837 with other common psychotherapy CPT codes:

  • 90832: This code is used for a 30-minute individual psychotherapy session. It is appropriate for shorter sessions, often used for follow-up visits or less intensive therapy.
  • 90834: This code covers a 45-minute individual psychotherapy session. Mental health professionals use it for standard therapy sessions that require more time than a brief encounter but do not extend to a full hour.
  • 90837: mental health professionals use code 90837 for a 60-minute individual psychotherapy session, making it ideal for in-depth therapy with patients who require more extensive treatment.

When to Use Procedure Code 90837

Procedure code 90837 should be used when the therapy session lasts for 60 minutes and involves individual psychotherapy. This code is appropriate when the patient requires a full hour of therapeutic intervention to address complex mental health issues.

It is important to document the session thoroughly, noting the duration, the therapeutic techniques used, and the patient’s progress. Accurate documentation not only supports the use of procedure code 90837 but also ensures compliance with billing regulations and helps avoid potential audits.

The Importance of Procedure Code 90837 in Mental Health Billing

Procedure code 90837 is a crucial tool in mental health billing. It reflects the time and effort invested by the therapist in providing comprehensive care to the patient. Accurate use of this code helps ensure that mental health professionals are compensated fairly for their services.

Maximizing Reimbursement with Procedure Code 90837

Proper use of procedure code 90837 can significantly impact a practice’s revenue. Since this code represents a longer session, it typically results in higher reimbursement compared to shorter sessions. However, it is essential to use this code accurately and in accordance with payer guidelines.

Some insurance companies may require pre-authorization for sessions billed under code 90837, especially if the patient requires multiple 60-minute sessions over a short period. Ensuring that pre-authorization is obtained, when necessary, can help avoid claim denials and delays in payment.

Common Challenges with Procedure Code 90837

Despite its importance, there are challenges associated with the use of code 90837. These challenges include:

  • Insurance Coverage: Not all insurance plans cover 60-minute psychotherapy sessions. It is crucial to verify the patient’s insurance benefits before scheduling a session under code 90837.
  • Documentation Requirements: Thorough documentation is necessary to justify the use of code. The therapist must document the session’s duration, the therapeutic interventions used, and the patient’s response to treatment.
  • Claim Denials: Incorrect use of code, such as billing for a session that was shorter than 60 minutes, can lead to claim denials. Ensuring accurate coding and documentation can help minimize the risk of denials.

Related CPT Codes for Behavioral Therapy

In addition to procedure code 90837, mental health professionals use several other CPT codes for billing various types of psychotherapy and behavioral therapy services. Here’s an overview of some related codes:

Individual Therapy

  • 90832: Psychotherapy, 30 minutes with patient
  • 90834: Psychotherapy, 45 minutes with patient

Family Therapy

  • 90846: Family psychotherapy, without patient present
  • 90847: Family psychotherapy, with patient present

Group Therapy

  • 90853: Group psychotherapy

Crisis Intervention

  • 90839: Psychotherapy for crisis, first 60 minutes
  • 90840: Psychotherapy for crisis, each additional 30 minutes

Behavioral Therapy (Applied Behavior Analysis)

  • 97151: Behavior identification assessment, each 15 minutes
  • 97153: Adaptive behavior treatment by protocol, each 15 minutes
  • 97155: Behavior identification assessment, each 15 minutes of direct contact
  • 97156: Family behavior therapy, each 15 minutes
  • 97157: Multiple-family group behavior therapy, each 15 minutes

ICD Codes for Behavioral Health

Accurate coding also involves the use of ICD-10 codes to describe the patient’s diagnosis. These codes provide the clinical rationale for the psychotherapy sessions and are necessary for justifying the use of CPT codes like 90837. Here are some common ICD-10 codes used in conjunction with code:

  • F32: Major depressive disorder, single episode
  • F33: Major depressive disorder, recurrent
  • F40: Phobic anxiety disorders
  • F41: Other anxiety disorders
  • F42: Obsessive-compulsive disorder
  • F43.1: Post-traumatic stress disorder
  • F90.0: Attention-deficit hyperactivity disorder, combined type
  • F84.0: Autistic disorder

Additional Considerations

Modifiers may also be required depending on the services provided. For example, the 59 modifier might be needed for distinct procedural services, while the 25 modifier could be used for significant, separately identifiable evaluation and management (E/M) services.

Best Practices for Using Procedure Code 90837

To maximize the benefits of using procedure code 90837, mental health professionals should follow these best practices:

1. Verify Insurance Coverage

Before scheduling a 60-minute session, verify the patient’s insurance benefits to ensure that code is covered. This step helps prevent unexpected denials and ensures that the patient understands their financial responsibility.

2. Document Thoroughly

Thorough documentation is critical when using code 90837. The session notes should include details about the therapeutic interventions used, the patient’s response, and any progress made. Detailed documentation supports the use of the code and provides a clear record of the patient’s treatment.

3. Monitor Claim Status

After submitting claims using procedure code, monitor the status to ensure timely reimbursement. If a claim is denied, review the reason for the denial and take corrective action, such as providing additional documentation or resubmitting the claim.

4. Stay Updated on Coding Guidelines

Mental health billing regulations and coding guidelines can change over time. Staying informed about the latest updates ensures that procedure code 90837 is used correctly and in compliance with payer requirements.

Understanding and Utilizing Procedure Code 90837

Procedure code 90837 is a valuable tool for mental health professionals, allowing them to bill for 60-minute psychotherapy sessions. By understanding when and how to use this code, providers can ensure accurate billing, maximize reimbursement, and avoid potential claim denials.

However, the complexities of mental health billing extend beyond just one code. To manage your billing process effectively, consider outsourcing to professionals who specialize in mental health and behavioral billing services. This allows you to focus on patient care while ensuring that your billing is handled efficiently and accurately.

If you need expert Mental Health or Behavioral Billing Services, contact us today. Our team of professionals is ready to help you navigate the complexities of mental health billing, maximize your reimbursements, and support the financial stability of your practice.

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