AMA CPT® Assistant - 2017 Issue 3 (March)

Medicine: Psychiatry (Q&A) (March 2017)

March 2017 page 11a Medicine: Psychiatry Question: If a provider spends 20 minutes providing psychotherapy services to the patient's family without the patient being present, is it appropriate to report code 90846 with a reduced modifier appended? Answer: No. It is not appropriate to append modifier 52 (Reduced Services) to time-based codes. Code 90846, Family psychotherapy (without the patient present), 50 minutes, requires a minimum of 26 minutes and therefore cannot be reported for 20 minutes of service. Question: Our licensed independent clinical social worker (LICSW) provides dialectical behavioral therapy (DBT) intervention during group therapy, and another qualified health...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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