PLEASE NOTE: As of 2023, these codes have been removed by CMS and the AMA. CPT Code 99355 is a prolonged service CPT code add-on. 99355 cannot be billed alone and must be billed with an appropriate procedure code as well as another prolonged service code, 99354. Add-on Code 99355 fits into a sub-group of […]
PLEASE NOTE: As of 2023, these codes have been removed by CMS and the AMA. CPT Code 99354 is a prolonged service CPT code add-on. It cannot be billed alone and must be billed with an appropriate procedure code. It fits into a sub-group of add-ons from 99354-99359 forming a subgroup of prolonged services codes. […]
CPT Code 90847 is a procedure code for behavioral health claims. 90847 is defined as Family psychotherapy (conjoint therapy) (with the patient present), 50 minutes.. Along with 90846 it falls into a subgroup of family psychotherapy procedure codes. It’s billed by Licensed Clinical Social Workers (LCSW), Licensed Professional Counselors (LPC), Licensed Marriage Family Therapist (LMFT), […]
CPT Code 90846 is a procedure code for licensed behavioral health providers. 90846 is defined as Family psychotherapy (without the patient present), 50 minutes. Along with 90847 it falls into a subgroup of family psychotherapy procedure codes. The procedure code is frequently billed by Licensed Clinical Social Workers (LCSW), Licensed Professional Counselors (LPC), Licensed […]
CPT Code 99404 is an oddity in the collection of regularly billed CPT codes. Cigna created this procedure code to describe EAP sessions taking place through their billing system. CPT Code 99404 Description 99404 is defined as Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual. This isn’t the most descriptive CPT […]
CPT Code 90839 is a procedure code for licensed mental health providers rendering crisis therapy or psychotherapy for crisis. Our 90839 billing and coding guide will teach you how to bill for crisis therapy sessions, explain the timeline for 90839 billing, license requirements, and how to bill for extended crisis therapy and telehealth crisis therapy […]
Billing CPT Code 90832 is becoming less and less common for mental health providers across the United States. Today you’ll learn how and when to procedure code 90832 for coding and filing your mental health insurance claims. Article Index CPT Code 90832 Description Reimbursement Rates Time Length CPT Code 90832 Description CPT Code 90832 is […]
If you are new to billing insurance you may not have heard of the HO modifier. The HO modifier is a HCPCS modifier used to allow for greater accuracy in coding in a claim. For instance, in this case the HO modifier is used to specify the provider’s degree level. Another HCPCS modifier, HJ is […]
CPT Code 90837 is a procedure code that describes a 60 minute individual psychotherapy session performed by a licensed mental health provider. 90837 is considered a routine outpatient CPT Code and is one of the most common CPT codes used in mental health insurance claims coding and billing. Article Index CPT Code 90837 Description Reimbursement […]
Unlike other larger insurance companies like United Healthcare or Cigna, the Blue Card Program (BCBS) is a federation of insurance companies rather than one single entity. Collectively over 100 million people are covered under Blue Cross Blue Shield plans, more than any single insurance company. Due to the structure of the federation, Blue Cross Blue […]
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