CPT Code 99355: The Definitive Guide [+Reimbursement Rates]

CMS 1500 with CPT Code 99355

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 add-ons from 99354-99359 of prolonged services codes.  Up until recently, only medical doctors could bill […]

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CPT Code 99354: The Definitive Guide [+Reimbursement Rates]

CMS 1500 99354 Claim

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. Up until recently, only medical doctors could bill this code with E/M codes but in […]

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Family Therapy Billing CPT Codes: The Definitive Guide

CMS 1500 90847 Claim

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), […]

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CPT Code 90846: The Definitive Guide [+Reimbursement Rates]

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 […]

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CPT Code 90404: The Definitive Guide [+Reimbursement Rates]

99404 CMS 1500 Claim

CPT Code 90404 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 90404 Description 90404 is defined as Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual. This isn’t the most descriptive CPT […]

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CPT Code 90839: Crisis Therapy Billing Guide [+Reimbursement Rates]

90839 CMS 1500 Claim

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 […]

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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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