icd-10 code for psychotherapy

by Mathias Barton MD 6 min read

Individual Psychotherapy

  • GZ50 Interactive
  • GZ51 Behavioral
  • GZ52 Cognitive
  • GZ53 Interpersonal
  • GZ54 Psychoanalysis
  • GZ55 Psychodynamic
  • GZ56 Supportive
  • GZ58 Cognitive-Behavioral
  • GZ59 Psychophysiological

Individual Psychotherapy, Cognitive-Behavioral
ICD-10-PCS GZ58ZZZ is a specific/billable code that can be used to indicate a procedure.

Full Answer

What are the mental health diagnosis codes?

  • REV: ICD-?-CM Revision (9/10)
  • CODE: ICD-9 or 10 Code (no dot)
  • DESC: Description (ICD-10: Long, ICD-9: Short)
  • MEN: 0/1 Mental disorder typically included in MHRN analyses
  • DEM: Dementia
  • ALC: Alcohol use disorder
  • DRU: Drug use disorder
  • PSY: Psychotic disorder or symptoms
  • SCH: Schizophrenia spectrum disorder
  • OPD: Other (non-schizophrenic) psychotic disorder

More items...

What are the billing codes for mental health?

Therapists say their professional codes of ethics already require disclosure to patients of per-visit costs.

What is the CPT code for individual therapy?

CPT Code 90837 is a procedure code that describes a 60 minute individual psychotherapy session performed by a licensed mental health provider. 90837 is considered a routine outpatient CPT Code and is one of the most common CPT codes used in mental health insurance claims coding and billing.

What is the CPT code for counseling?

by Medical Billing. CPT CODE and Description. • 99401 – preventive medicine counseling and/or risk factor intervention/s provided to an individual (separate procedure); approximately 15 minutes. • 99402 – preventive medicine counseling and/or risk factor intervention/s provided to an individual (separate procedure); approximately 30 minutes.

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What is the ICD code for psychotherapy?

Code 90785 may be reported with codes for diagnostic evaluation (90791), psychotherapy (90832, 90834, 90837) and group psychotherapy (90853).

What is the CPT code for individual psychotherapy?

CPT codes for psychotherapyCPT CodeDescription90832Individual psychotherapy, 30 minutes+90833Individual psychotherapy, 30 minutes with evaluation and management service (E/M)90834Individual psychotherapy, 45 minutes+90836Individual psychotherapy, 45 minutes with E/M37 more rows

Do therapists use ICD codes?

DSM is ICD–DSM directs therapists to the correct ICD diagnosis codes they need to bill. This brings us back to our critical question, how are CPT and ICD related? The relationship between an ICD code and a CPT code is that the diagnosis supports the medical necessity of the treatment.

What is ICD-10-PCS code for group psychotherapy?

GZHZZZZICD-10-PCS Code GZHZZZZ - Group Psychotherapy - Codify by AAPC.

How do you bill for group psychotherapy?

The CPT codes 90849 and 90853 are used when people with similar issues or conditions are treated in a group.

What is the difference between 90837 and 90834?

Both 90834 and 90837 are designed to bill for the same service – psychotherapy. The primary distinguishing factor between the two codes is time; 90834 is defined as 45 minutes of psychotherapy, while 90837 is defined as 60 minutes.

What is the ICD-10 code for behavioral health?

Mental, Behavioral and Neurodevelopmental disorders F01-F99.

Is 90834 a diagnosis code?

CPT® code 90834: Psychotherapy, 45 minutes.

WHO ICD-10 mental and Behavioural disorders?

F10-F19 Mental and behavioural disorders due to psychoactive substance use. F20-F29 Schizophrenia, schizotypal and delusional disorders. F30-F39 Mood [affective] disorders. F40-F48 Neurotic, stress-related and somatoform disorders.

What is the CPT code for group therapy?

90853CPT codes 90849 and 90849 In contrast, 90853 is a code for general group psychotherapy. This affects session participants because the clients attend general group psychotherapy, while multiple family group psychotherapy allows family members.

ICD-10 Z-Codes for Mental Health Providers

Z-Codes are diagnosis codes related to factors influencing the health status of an individual or conditions relating to that individual warranting clinical attention. For mental health providers, Z-code diagnoses are often best rendered alongside a F-Code diagnoses. ( Source) ( Source)

ICD-10 V-Codes for Mental Health Providers

Due to the extremely personal nature of these descriptions, many providers choose to forgo using V-codes on insurance claims.

ICD-9 vs ICD-10 Mental Health Diagnosis Codes

ICD-9 was updated to ICD-10 coding on October 1st, 2015. Coding changed from the use of ICD-9 diagnoses to ICD-10 diagnoses to match the recent DSM5 update in 2013, enumerating many more diagnoses.

ICD-9 Mental Health Diagnosis Lists

We do not recommend using ICD-9 diagnoses in 2020, for clear reasons! But this list and search tool will enable you to refer back!

How long is a psychotherapy code?

The time for each psychotherapy code is described as time spent with the patient and/or family, and although the time for each code is specific (30, 45 or 60 minutes), the coding manual allows for some flexibility.

What is the add on code for psychotherapy?

Of particular interest to prescribing psychologists, add-on code 90863 is used for pharmacologic management, including prescription and review of medication, when performed on the same day as one of the stand-alone psychotherapy codes (90832, 90834, 90837).

What is CPT code 90839?

CPT code 90839 is the principal code for a crisis psychotherapy session requiring urgent assessment and history of the crisis state, mental status exam and disposition . It is billed for the first 60 minutes of psychotherapy for a patient in crisis.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Psychiatry and Psychology Services.

ICD-10-CM Codes that Support Medical Necessity

The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the related determination.

ICD-10-CM Codes that DO NOT Support Medical Necessity

Severe and profound intellectual disabilities (ICD-10-CM codes F72, F73, and F79) are never covered for psychotherapy services or psychoanalysis (CPT codes 90832-90840, 90845-90849 and 90853). In such cases, rehabilitative, evaluation and management (E/M) codes should be reported.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

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