July 1999 page 10e
Coding Consultation
Psychiatric Therapeutic Procedures, 90806 (Q&A)
Question
Our physician provides face-to-face psychotherapy services for 60 minutes. As the code descriptors for CPT codes 90804-90809 are differentiated by specific time increments, with CPT code 90806 providing for 45-50 minutes of face-to-face time spent with the patient and 90808 providing for 75-80 minutes face-to-face time, how do I report 60 minutes of face-to-face psychotherapy services?
AMA Comment
From a CPT coding perspective it is important to recognize that the face-to-face time reported by codes 90804-90829 is an approximate amount of time, since the code descriptors...
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articles:
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article addresses a psychotherapy coding question in the psychiatry section of CPT and discusses how time-based therapeutic procedure reporting is framed in the 1999 guidance. It is relevant to coders, billing staff, and behavioral health practices that need to understand the article’s general discussion of psychotherapy timing, psychiatry guidelines, and modifier references from the CPT 1999 book.
Why This Topic Matters
It helps readers determine whether the premium content is relevant to psychotherapy documentation and time-based CPT reporting issues in behavioral health coding, without exposing the article’s full coding discussion.
Article Sections
Coding Consultation
Introduces the coding question and the general psychiatry topic addressed in the Q&A format.
Question
Presents the scenario involving psychotherapy time reporting and asks how the service should be represented within the CPT psychiatry section.
AMA Comment
Summarizes the published response, including references to psychiatry guidelines and modifier usage discussed in the source.
What You Will Learn
How the article frames psychotherapy time-based reporting in the psychiatry section of CPT
What general guidance the CPT Assistant commentary provides for behavioral health coding questions
Which modifier-related references are discussed in the article
How the article relates to the 1999 CPT psychiatry guidelines
Who Should Read This
Medical coders
Behavioral health billing staff
Psychiatry practice administrators
Revenue cycle professionals
Coding educators
Codes Discussed
CPT: 90804
CPT: 90806
CPT: 90808
CPT: 90809
CPT: 90804-90809
CPT: 90804-90829
Code Ranges Discussed
CPT: 90804-90809
CPT: 90804-90829
Modifiers Discussed
CPT: -22
CPT: 09922
CPT: -52
CPT: 09952
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