The Definitive Guide to CPT Code 90846

90846 on CMS 1500 Claim

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 Marriage […]

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The Definitive Guide to CPT Code 99404

99404 CMS 1500 Claim

Procedure code 99404 is an oddity in the collection of regularly billed CPT codes. 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 code and beyond the routine procedure codes (90834/90837) 99404 is one of the most frequently billed CPT codes. 99404, […]

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CPT Code 90839 Guide and Reimbursement Rates

90839 CMS 1500 Claim

CPT Code 90839 is a procedure code for licensed behavioral health providers. 90839 is defined as Psychotherapy for crisis, first 60 minute. Along with add-on code 90840 it falls into a subgroup of crisis psychotherapy procedure codes. It is billed by Licensed Clinical Social Workers (LCSW), Licensed Professional Counselors (LPC), Licensed Marriage Family Therapist (LMFT), […]

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Cigna Telehealth Billing for Therapy and Mental Health Services

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Cigna telehealth billing for therapy is straight forward.  They do require attestation but otherwise it should be easy to code and bill telehealth mental health sessions with Cigna coverage.  Ensure you are attested before billing Cigna for telehealth therapy. Cigna Telehealth Billing and Coding Guidelines In 2017, Cigna launched behavioral telehealth sessions for all their […]

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United Healthcare Telehealth Billing for Therapy and Mental Health

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United Healthcare telehealth billing is simple.  Utilize our guide for UHC telehealth billing for therapy and mental health services in general to ensure your claims are coded as accurately as possible. UHC Telehealth Billing for Therapy United Healthcare which operates under the Optum brand umbrella (alongside of United Behavioral Health) has authorized an expansion of […]

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Aetna Telehealth Billing for Therapy and Mental Health Providers

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Billing Aetna for telehealth therapy services and general telemedicine for mental health is straightforward, fortunately.  Review our short guide to understand how to code Aetna telehealth billing in general and psychotherapy in particular. How To Bill Aetna for Telehealth Services NOTE:  Due to Covid-19, Aetna has dramatically changed their telehealth requirements.  You can review their […]

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Telehealth Medicare Billing for Therapy and Mental Health Providers

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Telehealth medicare billing for therapy isn’t too complex, fortunately for mental health providers.  Our guide to Medicare insurance billing for telehealth will help you learn the CPT codes, modifiers, and license you need to bill Medicare for telehealth psychotherapy. Medicare Telehealth Billing Guidelines The following are guidelines created by the Centers for Medicare Services (CMS) […]

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HIPAA Compliant Telehealth Video Therapy

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Telehealth video therapy requires three things for HIPAA regulations to be upheld: Fully encrypted data transmission Peer-to-peer secure network connections No storage of video As always, you will need a Business Associates Agreement to be signed with your clients.  Normal phone calls that are not recorded are allowed for HIPAA compliant communication.   Likewise when a […]

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Telehealth Billing for Therapists: The Definitive Guide

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Telehealth billing for therapists is complex, requiring the correct medical claims coding cpt codes, modifiers, and place of service code.  Our exhaustive guide to telehealth billing for therapists will teach you how to code your mental health insurance claims for telehealth billing as the process to ensure you get paid every time.  We will also […]

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How to Get Credentialed with Aetna for Mental Health Providers

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Many providers wonder how to get credentialed with Aetna for mental health services and in this guide we’ll teach you how to submit your application, what’s required, as well as a time-frame for processing. Aetna is one of the largest insurance brands in the United States and it’s no wonder providers are inquiring about how […]

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