New CPT Codes for Mental Health

Barbara Griswold researched and wrote the following article about the new CPT code changes for mental health effective January 1, 2017 and graciously allowed us to reprint her article.

While you may know that psychotherapy CPT codes underwent radical changes in 2013, on January 1, 2017, more changes quietly went into effect.  According to the American Psychological Association, in the American Medical Association’s new 2017 CPT manual the following was clarified:

·         The descriptions of codes 90846 (couple/family therapy without patient present) and 90847 (couples/family therapy with patient present) have been changed so they now have stated time lengths of 50 minutes.  These codes should be used when providing family or couples therapy, with a minimum of 26 minutes.

·         Psychotherapy codes (90832, 90834, and 90837) are now for individual therapy only.  The description “psychotherapy with patient and/or family member” has now been changed to simply “psychotherapy with patient.”  Yes, the AMA says these sessions may occasionally involve “informants” such as family and caregivers, but these codes are to be used when the therapist is primarily providing individual counseling, and the patient is present for the majority of the session.

·         Codes 90832, 90833, 90834, 90836, 90837, 90838 can be reported on the same day as 90846 or 90847.  Include modifier 59 to emphasize the services were separate and distinct.  (Note: this doesn’t mean the insurance plan will cover them both, but this is how to code them).

by Barbara Griswold, LMFT, Author of Navigating the Insurance Maze: The Therapist’s Complete Guide to Working with Insurance — And Whether You Should” www.theinsurancemaze.com

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