CPT Code 90853: Group Therapy Billing & Coding Guide [2020]

cpt code 90853

CPT Code 9053 for group therapy services can be complex to bill and code accurately. In our guide to CPT Code 90853 we’ll teach you the size, length, and services that are allowed and not allowed in group therapy billing.  We’ll also let you know CPT code 90853 reimbursement rates at the end of the […]

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CPT Code 90792: Billing Guide with Reimbursement Rates [2020]

cpt code 90792 description

CPT Code 90792 can be hard to understand.  How long does a medical assessment and diagnostic interview last? What’s required to bill procedure code 90792? What are the reimbursement rates for 90792 and what are the license level requirements? Our Definitive Guide to CPT Code 90792 will teach you how to understand when to bill […]

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CPT Code 90834: Complete Guide with Reimbursement Rates [2020]

cpt code 90837 description

CPT Code 90834 is the most common procedure code used in mental health and behavioral health billing. Learn how to bill Cpt Code 90834 accurately every time with our insurance billing guide. You’ll discover the differences between procedure codes 90834 and 90837, the reimbursement rate for 90834, which add-on codes to use, and how to […]

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95 Modifier for Telehealth Billing [2020]

CMS 1500 95 Modifier Claim

The 95 modifier is a new coding modifier used for claims. It was introduced in 2017 and is different from CPT or procedure codes, and describes the claim. One example of a modifier that has been used for many years is the HJ modifier which is used to code EAP claims. 95 Modifier Description The […]

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GT Modifier for Telehealth Billing [2020 Guide]

CMS 1500 GT Modifier

The GT modifier is a coding modifier used for Telehealth claims. For many years it was the standard for signifying Telehealth claims before being mainly supplanted by the 95 modifier. In 2018, when CMS and Medicare stopped using this mainly companies followed suit and switched to 95 modifier. Despite this, there are still some insurance […]

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AJ Modifier: Billing and Coding for Licensed Clinical Social Workers

AJ Modifier on CMS 1500 Claim

The AJ Modifier, like some of the HCPCS H modifiers, is used in coding claims. These modifiers differ from diagnosis or CPT procedure codes, and are used to describe a different aspect of the claim. One similar example is the HO modifier which is sometimes required by insurance companies and shows the degree level (Master’s […]

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HJ Modifier for EAP Billing and Coding [2020 Guide]

HJ Modifier on CMS 1500 Claim

The HJ billing modifier is a H Code HCPCS modifier used in coding claims. This H group of modifiers are used to describe either something about the claim or the credentials of the provider. The HJ modifier is the most commonly used of the HCPCS modifiers in behavioral health claims. HJ Modifier Description The HJ […]

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HE Modifier for Mental Health Program Billing [2020 Guide]

HE Modifier on CMS 1500 Claim

The HE modifier is a H Code HCPCS modifier used in coding claims. This H group of modifiers are used to describe something else about the claim beyond the procedure or ICD10 diagnosis code. The most commonly used modifier in this group is HJ used to code Employee Assistance Program (EAP) visits. Insurance companies will […]

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HP Modifier: Clinical Psychologist Billing Guide

Billing HP Modifier on CMS 1500 Claim

The HP modifier, like the HO modifier and HN, is a HCPCS modifier used in coding claims. This group of modifiers are used to describe something else about the claim. One more commonly used example is the HJ modifier which is usually used to code Employee Assistance Program (EAP) visits. Insurance companies will request that […]

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HN Modifier: Bachelors Degree Billing Guide

HN Modifier on CMS 1500 Claim

The HN modifier, like the HO modifier, is a HCPCS modifier used in coding some claims. These modifiers are different from CPT or procedure codes and are used to describe something else about the claim. One commonly used example is the HJ modifier which is usually used to code Employee Assistance Program (EAP) visits. Modifiers […]

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