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90847 cpt code

Welcome to our comprehensive guide on CPT Code 90847 for family psychotherapy sessions. As mental health professionals, it is crucial to have a thorough understanding of this code and its billing guidelines to ensure proper reimbursement for the valuable services you provide. Whether you conduct therapy sessions in person or via telemedicine, this article will provide you with useful insights and information to navigate the world of family psychotherapy billing.

Family psychotherapy plays a vital role in addressing and resolving conflicts within familial or couple relationships. By using CPT Code 90847, therapists can bill for these sessions and receive appropriate reimbursement from insurance providers. It is essential to understand the code’s description, the providers who can use it, the insurance companies that cover it, the fee schedule, documentation requirements, limitations, and its distinction from other codes.

Key Takeaways:

  • CPT Code 90847 is used to bill for family or couples therapy sessions in mental health practice.
  • It can be conducted in person or via telemedicine.
  • Understanding the code’s description, providers who can use it, and insurance coverage is essential.
  • Documentation requirements must be met to ensure reimbursement.
  • Be aware of the limitations of this code and the differences between other related codes.

What is CPT Code 90847?

CPT Code 90847 is a specific code used for family or couples therapy sessions. This code allows mental health professionals to bill for their services when providing therapy to family members or couples with the patient present. The therapy session duration for CPT Code 90847 is typically 50 minutes. Family psychotherapy is an essential component of mental health care, helping individuals navigate interpersonal dynamics and improve overall family functioning.

In family psychotherapy sessions, therapists employ evidence-based techniques to address familial conflicts, promote effective communication, and enhance problem-solving skills. This therapeutic approach recognizes the interconnectedness of relationships and aims to improve the entire family system. By focusing on relationships and interactions, therapists can help families and couples develop healthier coping mechanisms and build stronger bonds.

Using CPT Code 90847 enables mental health providers to accurately document and bill for their services in an ethical and transparent manner. This code facilitates proper reimbursement for the valuable work therapists do to support families and couples in their journey towards improved mental well-being.

Providers who can use CPT 90847

There are various types of healthcare providers who can utilize CPT Code 90847 for family psychotherapy. This code allows them to bill for their services and receive proper reimbursement. The following professionals can use the 90847 procedure code:

  • Psychiatrists
  • Psychologists
  • Licensed Clinical Social Workers
  • Licensed Professional Counselors
  • Nurse Practitioners
  • Physician Assistants

These skilled professionals are trained in providing effective family psychotherapy sessions to foster improved communication, understanding, and overall mental well-being within families and couples.

Family psychotherapy sessions can be conducted by any of these providers based on their respective qualifications and expertise. They play a crucial role in supporting individuals and families in navigating complex emotional issues and facilitating healthier relationships. Using CPT Code 90847 allows them to accurately document and bill for their essential services.

Provider Type Description
Psychiatrists Medical doctors specializing in the diagnosis and treatment of mental health disorders.
Psychologists Professionals trained in providing psychological assessments and therapy for mental health conditions.
Licensed Clinical Social Workers Trained professionals who provide therapy and support services to individuals, families, and communities.
Licensed Professional Counselors Professionals specializing in counseling and therapy to help individuals overcome emotional and behavioral challenges.
Nurse Practitioners Advanced practice nurses who provide comprehensive healthcare services, including mental health care.
Physician Assistants Medical professionals who work under the supervision of physicians and provide a wide range of healthcare services.

Insurance Companies that Cover CPT 90847

When it comes to billing for CPT Code 90847, it’s important to know which insurance companies typically provide coverage. This section will highlight some major healthcare private insurance companies in the US that generally cover CPT Code 90847. However, it’s important to keep in mind that coverage may vary depending on the specific insurance plan.

  • Aetna: Aetna offers various insurance plans that often cover CPT Code 90847 for family or couples therapy sessions.
  • Blue Cross Blue Shield: Blue Cross Blue Shield is another insurance provider that typically includes coverage for CPT Code 90847.
  • Cigna: Cigna is known to cover CPT Code 90847 for family psychotherapy sessions in their insurance plans.
  • United Healthcare: United Healthcare is one of the major insurance providers that generally cover CPT Code 90847 for family or couples therapy.

It’s important for mental health providers to check with each insurance provider to understand their specific billing guidelines and requirements regarding CPT Code 90847. By staying informed about insurance coverage, providers can ensure appropriate reimbursement for their services.

Fee Schedule for CPT Code 90847

When it comes to billing for CPT Code 90847, the fee can vary depending on the location and insurance provider. On average, the fee for a 50-minute family psychotherapy session using CPT Code 90847 ranges between $70 and $150 per session. However, it’s important to note that reimbursement rates may differ based on the specific fee schedule of each insurance provider.

Understanding the fee schedule for CPT Code 90847 is crucial for mental health professionals to ensure proper reimbursement for their services. By familiarizing ourselves with the fee structure set by insurance providers, we can accurately bill for family psychotherapy sessions and provide valuable support to our clients.

Fee Comparison by Location

Location Minimum Fee Maximum Fee
New York City $90 $160
Los Angeles $80 $140
Chicago $75 $130
Houston $70 $120
Philadelphia $85 $150

It’s important to note that the fee schedule may vary not only by location but also by the specific insurance provider. Before setting your fees, we recommend researching the fee schedules of the insurance companies you work with to ensure you accurately bill for CPT Code 90847.

Documentation requirements for billing CPT Code 90847

To accurately bill for CPT Code 90847, it is essential for therapists to meticulously document the details of each therapy session. This documentation serves as crucial evidence of the services provided and supports proper reimbursement. Here are the key requirements for documenting CPT Code 90847:

  • Presence: Clearly indicate who was present during the therapy session. Specify if it was a family therapy session or a couples therapy session.
  • Discussion: Document the topics or issues discussed during the therapy session. Include any significant insights, breakthroughs, or challenges addressed.
  • Date and Time: Record the date and start/end times of the therapy session. This information is necessary for accurate billing and tracking purposes.
  • Therapist’s Credentials: Provide the therapist’s credentials, including their name, professional title, and license information. This ensures proper identification of the provider delivering the service.
  • Patient’s Diagnosis Code: Include the appropriate diagnosis code for the patient receiving the therapy. This helps establish medical necessity and facilitates coordination with insurance providers.

By adhering to these documentation requirements, therapists can ensure compliance with billing standards and increase their chances of successful reimbursement for CPT Code 90847.

Example of documenting a therapy session:

Date Time Participants Discussion summary
2022-01-10 11:00 AM – 12:00 PM John, Mary, and Dr. Smith Discussed communication issues within the family and strategies for conflict resolution. Explored the impact of recent life events on emotional well-being.
2022-01-17 2:30 PM – 3:30 PM Sarah, David, and Dr. Johnson Explored coping mechanisms for stress and anxiety within the couple’s relationship. Developed a plan for improving emotional intimacy and support.

Limitations of CPT Code 90847

While CPT Code 90847 is a valuable tool for billing family or couples therapy sessions, it does have certain limitations that mental health providers should be aware of. These limitations include:

  1. Family or couples therapy sessions must last at least 26 minutes. Sessions that fall short of this duration cannot be billed using CPT Code 90847.
  2. CPT Code 90847 cannot be used for individual therapy sessions. It is specifically designed for therapy involving multiple family members or couples with the patient present.
  3. Certain diagnoses may not be covered by insurance plans for billing CPT Code 90847. Providers should check with the insurance provider to determine if specific diagnoses are eligible for reimbursement under this code.

It’s important for mental health providers to understand these limitations to ensure accurate billing and reimbursement for their services.

Limitations Description
Minimum Session Duration Sessions must last at least 26 minutes for billing with CPT Code 90847.
Individual Therapy CPT Code 90847 cannot be used for individual therapy sessions.
Coverage Limitations Some insurance plans may not cover certain diagnoses for billing with CPT Code 90847. Providers should verify coverage with the insurance provider.

Difference between CPT Code 90847 and 90837

When it comes to billing for therapy sessions, it’s important to understand the difference between CPT Code 90847 and CPT Code 90837. While both codes are used in mental health practice, they apply to different types of therapy sessions.

Code 90847: Family or Couples Therapy

CPT Code 90847 is specifically designed for family or couples therapy sessions. It involves providing therapy to multiple individuals at once, such as couples or family members, with the patient present. This code covers sessions that last for a minimum of 26 minutes and encompasses the assessment, treatment, and management of the therapeutic process.

Code 90837: Individual Therapy Longer than 60 Minutes

In contrast, CPT Code 90837 is used for individual therapy sessions that exceed 60 minutes in duration. This code applies to one-on-one therapy sessions that go beyond the typical 45-50 minute timeframe. It is crucial to note that this code cannot be used for family or couples therapy and is specifically designated for longer individual sessions.

Here’s a side-by-side comparison of the key differences between CPT Codes 90847 and 90837:

CPT Code Type of Therapy Duration
90847 Family or Couples Therapy Minimum of 26 minutes
90837 Individual Therapy Longer than 60 minutes Exceeding 60 minutes

As shown in the table above, CPT Code 90847 is specifically tailored to family or couples therapy sessions, while CPT Code 90837 is reserved for individual therapy sessions lasting longer than 60 minutes. It’s important to select the appropriate code based on the type of therapy being provided to ensure accurate billing and reimbursement.

To illustrate the key distinction visually, here’s an image related to the different therapy settings:

Understanding the nuances between CPT Code 90847 and 90837 is crucial for mental health professionals when it comes to accurately billing for their services and receiving appropriate reimbursement. By using the correct code for each therapy session, providers can ensure accurate reporting and a smooth billing process.

Telehealth and CPT Code 90847

Telehealth therapy sessions have become increasingly popular, offering convenience and accessibility for both patients and providers. If you are a mental health professional wondering how to use CPT code 90847 for telehealth sessions, we have you covered. As long as the telehealth therapy session meets the same qualifications and documentation requirements as in-person sessions, you can bill using CPT code 90847.

Telehealth has proven to be an effective platform for delivering family psychotherapy and couples therapy, allowing therapists to provide crucial support and counseling from a distance. However, it’s important to note that coverage for telehealth sessions may vary among insurance providers, so it’s crucial to verify coverage policies with each specific provider.

Qualifications for Telehealth Sessions Using CPT Code 90847

When conducting telehealth sessions using CPT code 90847, it’s crucial to ensure that the sessions meet the following qualifications:

  • The therapy session must last for a minimum of 26 minutes.
  • All participants in the therapy session, including family members or couples, must be present remotely.
  • The therapy session should focus on addressing familial or relationship issues and must involve the patient participating actively throughout the session.

By meeting these qualifications, you can confidently bill for telehealth therapy sessions using CPT code 90847.

Insurance Coverage for Telehealth Sessions using CPT Code 90847

Insurance Provider Coverage for Telehealth Sessions
Aetna Covered
Blue Cross Blue Shield Covered
Cigna Covered
United Healthcare Covered

It’s important to note that the table above provides a general overview of insurance coverage for telehealth sessions using CPT code 90847. However, coverage may vary depending on the specific insurance plan and geographic location. Therefore, it is always recommended to verify coverage policies with the insurance provider directly.

Common Insurance Providers for CPT Code 90847

When it comes to billing for family psychotherapy sessions using CPT Code 90847, most insurance providers offer coverage. This ensures that mental health professionals can receive reimbursement for their valuable services. Here are some common insurance providers that typically cover CPT Code 90847:

  • Medicare
  • Medicaid
  • Aetna
  • Cigna
  • United Healthcare

It’s important to note that while these insurance providers generally cover CPT Code 90847, the specific coverage policies may vary. Therefore, we recommend reaching out to each insurance provider to understand their requirements and guidelines for billing using CPT Code 90847. By doing so, mental health professionals can ensure that they meet all the necessary requirements and paperwork needed to receive proper reimbursement for their services.

Insurance Provider Coverage Details
Medicare Covers CPT Code 90847 for family psychotherapy sessions
Medicaid Provides coverage for CPT Code 90847
Aetna Includes coverage for family psychotherapy sessions using CPT Code 90847
Cigna Covers CPT Code 90847 for family or couples therapy sessions
United Healthcare Offers coverage for CPT Code 90847

90847 cpt code requirements

By working with insurance providers that cover CPT Code 90847, mental health professionals can ensure that their services are accessible to a wider range of clients. Additionally, proper documentation and adherence to the necessary guidelines will help facilitate the billing process and ensure accurate reimbursement.

CPT Codes for Psychology (Non-E/M)

Aside from CPT Code 90847, there are several other CPT codes that are relevant to psychology services. These codes enable mental health professionals to accurately bill for different types of therapy sessions and psychiatric examinations.

1. CPT Code 90791:

This code is used for psychiatric diagnostic examinations. It involves a comprehensive evaluation of the patient’s mental health, which includes a detailed assessment of the patient’s history, symptoms, and overall functioning.

2. CPT Codes 90832-90837:

These codes are used for individual psychotherapy sessions of varying durations. Each code specifies a different session length, ranging from 30 minutes (90832) to 60 minutes (90837). These codes allow mental health professionals to bill for the time spent providing therapy to individual patients.

3. CPT Code 90853:

This code is used for group therapy sessions. It enables mental health professionals to bill for therapy sessions where multiple patients participate simultaneously. Group therapy can be a beneficial treatment modality for certain individuals and allows for peer support and collective learning.

4. CPT Code 90846:

This code is used for family therapy sessions where the patient is not present. It allows mental health professionals to bill for therapy sessions that focus solely on the dynamics and interactions within the family unit.

Below is a complete summary of the CPT codes for psychology services:

CPT Code Description
90791 Psychiatric diagnostic examination
90832-90837 Individual psychotherapy sessions of varying durations
90853 Group therapy
90846 Family therapy without the patient present

Billing Service Offering Support for Mental Health Providers

At Medical Bill Gurus, we understand the unique challenges that mental health providers face when it comes to medical billing. That’s why we offer comprehensive billing services tailored specifically to the needs of mental health professionals.

Our team of experienced billers and coders is well-versed in the intricacies of mental health billing, including CPT Code 90847 for family psychotherapy sessions. Whether you are a psychiatrist, psychologist, social worker, counselor, nurse practitioner, or physician assistant, we can assist you in navigating the complex billing process.

With our expertise, you can rest assured that your claims will be submitted accurately and in a timely manner, maximizing your reimbursement potential. We handle all aspects of the billing process, from verifying insurance eligibility and pre-authorizations to claim submission and follow-up.

Here’s how our medical billing services can benefit your mental health practice:

  • Efficient and accurate billing to optimize your revenue
  • Reduced administrative burden, allowing you to focus on patient care
  • Expert guidance on insurance coverage and reimbursement policies
  • Compliance with HIPAA regulations and coding guidelines
  • Timely claim submission and follow-up to minimize payment delays
  • Thorough documentation to support your claims and avoid potential audits

By outsourcing your medical billing needs to us, you can streamline your practice’s financial operations and improve your bottom line. We understand the complexities of mental health billing and stay up-to-date with the latest industry changes and regulations.

Partner with us at Medical Bill Gurus and let us handle your medical billing so you can focus on what matters most – providing quality mental health care to your patients.

Top US cities for psychotherapy billing services

If you’re a mental health provider seeking reliable psychotherapy billing services near you, look no further. We have compiled a list of the top US cities where you can find reputable billing services tailored to the needs of psychotherapists. Whether you’re located in the bustling heart of New York City or the sunny streets of Los Angeles, you can access professional billing support in your area.

Here are some of the major cities where psychotherapy billing services are available:

  1. New York City
  2. Los Angeles
  3. Chicago
  4. Houston
  5. Philadelphia

These cities boast a thriving mental health industry and are home to numerous billing service providers specializing in psychotherapy. Whether you’re a psychiatrist, psychologist, licensed clinical social worker, or any other mental health professional, you can find dedicated support to streamline your billing processes and ensure timely reimbursements.

For a comprehensive and nationwide solution, consider partnering with Medical Bill Gurus. With our extensive network of experienced billers and coders, we can provide psychotherapy billing services to providers across the United States. No matter where you’re located, we have you covered.

Psychotherapy billing services near me

Our team understands the unique challenges faced by mental health providers in managing their billing and reimbursement procedures. Let us handle the complexities of insurance claims and coding requirements, so you can focus on delivering quality care to your patients.

Next, we’ll explore SonderMind’s Cheat Sheet for CPT Codes, providing a helpful resource for understanding the intricacies of CPT Code 90847 and other codes used in therapy sessions.

SonderMind’s Cheat Sheet for CPT Codes

When it comes to navigating the world of CPT codes for therapy, having a reliable reference sheet can be incredibly helpful. SonderMind, a trusted name in the mental health industry, offers a comprehensive cheat sheet that includes a list of CPT codes commonly used in therapy. This cheat sheet is a valuable resource for mental health professionals who need quick access to accurate and up-to-date information.

One of the key codes included in SonderMind’s cheat sheet is CPT Code 90847, which is used for family psychotherapy sessions. This code allows therapists to bill for 50-minute therapy sessions involving family members or couples with the patient present. With SonderMind’s cheat sheet, mental health providers can easily reference the description and billing guidelines for CPT Code 90847.

Here is a glimpse of SonderMind’s cheat sheet for CPT codes used in therapy:

(Add more rows if needed)

CPT Code Description
90837 Individual psychotherapy, 60 minutes
90832 Individual psychotherapy, 30 minutes
90853 Group psychotherapy
90846 Family psychotherapy without the patient present

As mental health professionals, having access to a reliable and accurate cheat sheet for CPT codes can save time and streamline the billing process. SonderMind understands the importance of keeping up with industry standards and offers this convenient resource to help providers navigate the complexities of CPT coding.

With SonderMind’s cheat sheet, mental health providers can ensure that they are using the correct codes, following documentation requirements, and maximizing reimbursement for their services. It’s an invaluable tool that simplifies the coding process and keeps providers informed and up-to-date.

Conclusion

Understanding the reimbursement guidelines for CPT Code 90847 is vital for mental health professionals who offer family or couples therapy sessions. By accurately documenting the therapy sessions and adhering to the code’s requirements, providers can ensure that they receive proper reimbursement for their services.

It is important to recognize the limitations of CPT Code 90847 since it can only be used for family or couples therapy sessions of at least 26 minutes. Additionally, it cannot be used for individual therapy sessions or for certain diagnoses that are not covered by insurance plans.

By staying informed about the fee schedule and insurance coverage for CPT Code 90847, providers can better navigate the billing process. It is also essential to communicate with insurance companies and verify coverage to avoid any reimbursement challenges.

FAQ

What is CPT Code 90847?

CPT Code 90847 is used for family or couples therapy sessions in mental health practice. It involves providing therapy to family members or couples with the patient present and can be conducted in person or via telemedicine.

Who can use CPT Code 90847?

Psychiatrists, psychologists, licensed clinical social workers, licensed professional counselors, nurse practitioners, and physician assistants are among the providers who can use CPT Code 90847 for family psychotherapy.

Which insurance companies cover CPT Code 90847?

Major healthcare private insurance companies in the US, such as Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare, typically cover CPT Code 90847. However, coverage may vary depending on the specific insurance plan.

What is the fee schedule for CPT Code 90847?

The fee for CPT Code 90847 can range from around to 0 per session, depending on the location and insurance provider. However, reimbursement rates may vary based on the specific fee schedule of each insurance provider.

What are the documentation requirements for billing CPT Code 90847?

To bill for CPT Code 90847, therapists must document the therapy session’s details, including who was present, what was discussed, the date and time of the session, the therapist’s credentials, and the patient’s diagnosis code.

What are the limitations of CPT Code 90847?

CPT Code 90847 can only be used for family or couples therapy sessions that last at least 26 minutes. It cannot be used for individual therapy sessions or for certain diagnoses that are not covered by insurance plans.

What is the difference between CPT Code 90847 and 90837?

CPT Code 90847 is used for family or couples therapy sessions, while CPT Code 90837 is used for individual therapy sessions longer than 60 minutes. These two codes are not interchangeable and should be used based on the type of therapy session being provided.

Can CPT Code 90847 be used for telehealth therapy sessions?

Yes, CPT Code 90847 can be used for telehealth therapy sessions if they meet the same qualifications and documentation requirements as in-person therapy sessions. However, coverage for telehealth sessions may vary among insurance providers.

Which insurance providers cover CPT Code 90847?

CPT Code 90847 is typically covered by most insurance providers, including Medicare, Medicaid, Aetna, Cigna, and United Healthcare. However, it’s important to check with each insurance provider for specific coverage policies.

Are there other CPT codes related to psychology services?

Yes, other CPT codes related to psychology services include 90791 for psychiatric diagnostic examination, 90832-90837 for individual psychotherapy sessions of varying durations, 90853 for group therapy, and 90846 for family therapy without the patient present.

Is there a billing service that can assist with CPT Code 90847?

Yes, Medical Bill Gurus is a medical billing company that provides comprehensive billing services for mental health providers, including assistance with billing for CPT Code 90847 and other insurance payers.

Which US cities offer psychotherapy billing services?

Psychotherapy billing services are available in major cities such as New York City, Los Angeles, Chicago, Houston, and Philadelphia, among others. Medical Bill Gurus can provide these services nationwide.

Can I find a cheat sheet for CPT Codes related to therapy?

Yes, SonderMind provides a convenient reference sheet with a list of CPT codes used in therapy, including the description for CPT Code 90847 for family psychotherapy sessions.

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