90837 CPT Code

The Current Procedural Terminology (CPT) Editorial Panel monitors a strict process to ensure that the CPT code set stays up to date. They do that to meet the rapid advancements in medical and scientific knowledge. CPT code set up is necessary to ensure that the CPT code set accurately and to reflect the coding specifications for artificial intelligence, electronic health records, individualized medicine, and other components of a modern healthcare system. The Panel gathers extensive feedback from practicing physicians and medical professionals.

A strict protocol from American Medical Association (AMA) is in place to ensure that CPT codes stays up to date with modern medical knowledge and technology in order to set CPT codes to be continued in serving.

A qualified mental health care provider conducts a 60 minutes individual counselling session with 90837 CPT Code. Among the most often utilized CPT codes for mental health insurance reimbursement coding and billing is 90837 CPT Code, which is regarded as a normal outpatient code.

90837 CPT Code Description

According to Medicare Services Centers, CPT code 90837 is 60 minutes individual outpatient psychotherapy treatments. It can also be used for 60 minutes therapy session for family member.

There are following psychotherapic services included with 90837 CPT Code:

  • Collaborative sessions
  • Behavior modifying
  • Insight-oriented
  • Behavioral psychotherapy

According to Medicare, the following services must be billed in 90837 CPT Code:

  • Teaching grooming skills
  • Monitoring daily living activities (ADL)
  • Recreation therapy by using plays, art, and dance or music
  • Interaction with people

Use different CPT codes when providing care for clients who have intellectual disability.  This also applies to patients who have advanced dementia.

90837 CPT Code Time Range

90837 CPT Code has a time frame of Sixty minutes, with intervals of up to fifty-three minutes.

  • The time is the only distinction between 90837 and 90834, the other frequently employed CPT code.
  • 90834 is forty-five minutes, and 90837 is sixty.
  • Not all therapists hold appointments at these precise times.

90837 CPT Code Reimbursement

Here is the list of rates of reimbursement for CPT Code 90837 [2024]

It is true that 90837 pays more than 90834 because of the longer duration.

  • CPT Code 90837 Reimbursement Rate (2024, Medicare):  $149.64
  • CPT Code 90837 Reimbursement Rate (2023, Medicare):  $147.07
  • CPT Code 90837 Reimbursement Rate (2022, Medicare):  $164.84
  • CPT Code 90837 Reimbursement Rate (2021, Medicare):  $152.48
  • CPT Code 90837 Reimbursement Rate (2020, Medicare):  $141.47

90837 CPT Code appointments can pay $9–20 more as an aggregate to 90834 appointments, depending on your qualifications. This equates to about 13–20% more on average each session. Medicare’s payment rates for individual therapy lasting 60 minutes have been made public.

In 2023, prolonged session invoicing for CPT Code 90837 has been discontinued. Supplementary Extended services is defined as an additional 30-74 minutes of therapy and is coded as CPT 99354. Previously only available to medical doctors, 99354 is now relevant to 90837 and 90487.

90837 CPT Code Time

For visits to therapy lasting sixty minutes, or fifty-three minutes or more, use 90837 CPT Code. If the duration is shorter than 53 minutes, code 90834 (45-minute session) should be used. The real session duration for 90837 needs to be recorded in your notes.

90837 CPT Code Description Time

A doctor or other licensed healthcare provider may record a prolonged activity code for CPT code 90837 (psychological treatment, 60 minutes with patient) if the psychological treatment is 90 minutes or more and involves personal interaction with the patient without being done in conjunction with an E/M treatment.

90837 CPT Code Modifier

For online meetings lasting 53 minutes or more, you would utilize the 90837 CPT Code Modifier 95. If the session lasts longer than 53 minutes, be sure to add the relevant extended code to optimize your compensation.

90837 CPT Code Telehealth

90837 CPT Code is used to bill a licensed mental health professional for a 60-minute therapy session. This code is valid for both outpatient and telemedicine services with the help of a modifier, specified that the necessary requirements for telehealth billing are met.

Bills for telehealth services usually include modifier 95. Modifier 95 indicates that the treatment was provided by telehealth services. It’s important to clarify the individual’s insurance provider’s coverage and any special billing requirements before using this code for telehealth.

90837 CPT Code Age Limit

90837 CPT Code can be implemented by both adults and minors. There is no set age restriction. However, providers must decide to ensure the therapy is suitable for the patient’s age and stage of development.

90837 CPT Code Minutes

CPT code 90837 can be implemented for 60 minutes.

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