195
Total CPT Codes
171
Primary Codes
24
Add-on Codes
0
In Calculator
Category
Code Type
0362T primary
Moderate
ABA behavior identification supporting assessment with 2+ technicians
Individual psychotherapy, 60 minutes (53+ minutes).
Per 15 minutes - ABA behavior identification supporting assessment with 2+ technicians. For patients with destructive behavior in customized environment.
ABA Services Primary code
Aetna: $13.83 Optum: $23.82
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
ABA behavior identification supporting assessment with 2+ technicians. For patients with destructive behavior in customized environment.
0373T primary
Moderate
ABA protocol modification with 2+ technicians
Individual psychotherapy, 60 minutes (53+ minutes).
Per 15 minutes - ABA protocol modification with 2+ technicians. For patients with destructive behavior requiring multiple technicians.
ABA Services Primary code
Aetna: $26.68 Optum: $23.82
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
ABA protocol modification with 2+ technicians. For patients with destructive behavior requiring multiple technicians.
90785 add‑on
N/A
Interactive complexity
Individual psychotherapy, 60 minutes (53+ minutes).
As add-on only - Bill as add-on only. Requires documentation of complexity factors including third-party involvement, communication difficulties, or maladaptive behavior.
Psychiatric Services Add-on code
Aetna: $15.49 Optum: $12.67
Compatible with
90791 90792 90832 90834 90837
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Bill as add-on only. Requires documentation of complexity factors including third-party involvement, communication difficulties, or maladaptive behavior.
90791 primary
Low
Psychiatric Diagnostic Evaluation without Medical Services
Individual psychotherapy, 60 minutes (53+ minutes).
Once per provider per patient episode - Once per provider per patient per condition episode. Initial diagnostic psychiatric interview without medical services. Typical time: 45-60 minutes.
Psychiatric Services Primary code
Aetna: $145.27 Optum: $148.63
Eligible Add‑on Codes
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Once per provider per patient per condition episode. Initial diagnostic psychiatric interview without medical services. Typical time: 45-60 minutes.
90792 primary
Moderate
Psychiatric Diagnostic Evaluation with Medical Services
Individual psychotherapy, 60 minutes (53+ minutes).
Once per provider per patient episode - Once per episode. Initial psychiatric evaluation WITH medical assessment and medication management. Typical time: 60-90 minutes.
Psychiatric Services Primary code
Aetna: $160.44 Optum: $167.07
Eligible Add‑on Codes
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Once per episode. Initial psychiatric evaluation WITH medical assessment and medication management. Typical time: 60-90 minutes.
90832 primary
Low
Psychotherapy, 30 minutes
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day. Brief psychotherapy session. Time range: 16-37 minutes. Most common brief therapy code.
Psychiatric Services Primary code
Aetna: $71.18 Optum: $64.23
Eligible Add‑on Codes
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day. Brief psychotherapy session. Time range: 16-37 minutes. Most common brief therapy code.
90833 add‑on
N/A
Psychotherapy with E/M 30 min
Individual psychotherapy, 60 minutes (53+ minutes).
1 per E/M service - 1 per E/M service. Add-on psychotherapy 30 minutes when performed with E/M service. Time must be separate from E/M time. Time range: 16-37 minutes.
Psychiatric Services Add-on code
Aetna: $72.89 Optum: $64.63
Compatible with
90792 99212 99213
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per E/M service. Add-on psychotherapy 30 minutes when performed with E/M service. Time must be separate from E/M time. Time range: 16-37 minutes.
90834 primary
Moderate
Psychotherapy, 45 minutes
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day. Moderate complexity psychotherapy. Time range: 38-52 minutes. Suitable for CBT, trauma processing, or supportive therapy.
Psychiatric Services Primary code
Aetna: $94.68 Optum: $84.97
Eligible Add‑on Codes
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day. Moderate complexity psychotherapy. Time range: 38-52 minutes. Suitable for CBT, trauma processing, or supportive therapy.
90836 add‑on
N/A
Psychotherapy with E/M 45 min
Individual psychotherapy, 60 minutes (53+ minutes).
1 per E/M service - 1 per E/M service. Add-on psychotherapy 45 minutes with E/M service. Time range: 38-52 minutes. Time must be documented separately from E/M.
Psychiatric Services Add-on code
Aetna: $97.85 Optum: $74.89
Compatible with
90792 99213 99214
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per E/M service. Add-on psychotherapy 45 minutes with E/M service. Time range: 38-52 minutes. Time must be documented separately from E/M.
90837 primary
Moderate-High
Psychotherapy, 60 minutes
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day. Intensive psychotherapy session. Time: 53+ minutes. For complex trauma, crisis intervention, or intensive therapeutic work.
Psychiatric Services Primary code
Aetna: $141.51 Optum: $125.01
Eligible Add‑on Codes
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day. Intensive psychotherapy session. Time: 53+ minutes. For complex trauma, crisis intervention, or intensive therapeutic work.
90838 add‑on
N/A
Psychotherapy with E/M 60 min
Individual psychotherapy, 60 minutes (53+ minutes).
1 per E/M service - 1 per E/M service. Add-on psychotherapy 60 minutes with E/M service. Time: 53+ minutes. For high-complexity E/M with intensive therapy.
Psychiatric Services Add-on code
Aetna: $121.09 Optum: $99.08
Compatible with
99214 99215
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per E/M service. Add-on psychotherapy 60 minutes with E/M service. Time: 53+ minutes. For high-complexity E/M with intensive therapy.
90839 primary
High
Psychotherapy for crisis, first 60 min
Individual psychotherapy, 60 minutes (53+ minutes).
As needed for crisis - 1 per crisis episode. Psychotherapy for crisis, first 60 minutes. Requires immediate threat to life or severe decompensation.
Psychiatric Services Primary code
Aetna: $147.57 Optum: $120.11
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per crisis episode. Psychotherapy for crisis, first 60 minutes. Requires immediate threat to life or severe decompensation.
90840 add‑on
N/A
Psychotherapy crisis each additional 30 min
Individual psychotherapy, 60 minutes (53+ minutes).
Per additional 30 minutes - Each additional 30 minutes of crisis psychotherapy after first 60 minutes. Bill with 90839.
Psychiatric Services Add-on code
Aetna: $70.84 Optum: $59.63
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
Each additional 30 minutes of crisis psychotherapy after first 60 minutes. Bill with 90839.
90846 primary
Low-Moderate
Family Psychotherapy, without patient present
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day. Family psychotherapy session without patient present. Suitable for parent training, family education, or caregiver support.
Psychiatric Services Primary code
Aetna: $104.15 Optum: $99.97
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day. Family psychotherapy session without patient present. Suitable for parent training, family education, or caregiver support.
90847 primary
Moderate
Family/Couple Psychotherapy
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day. Family/couple psychotherapy with patient present. Family dynamics, communication patterns, and joint treatment goals addressed.
Psychiatric Services Primary code
Aetna: $107.76 Optum: $104.01
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day. Family/couple psychotherapy with patient present. Family dynamics, communication patterns, and joint treatment goals addressed.
90849 primary
Low
Multiple-family Group Psychotherapy
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day. Multiple-family group psychotherapy. Multiple families treated simultaneously in group format.
Psychiatric Services Primary code
Aetna: $46.35 Optum: $31.69
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day. Multiple-family group psychotherapy. Multiple families treated simultaneously in group format.
90853 primary
Low-Moderate
Group Psychotherapy
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day per patient. Group psychotherapy session. Requires documentation of group topic, process, and individual patient participation.
Psychiatric Services Primary code
Aetna: $46.35 Optum: $40.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day per patient. Group psychotherapy session. Requires documentation of group topic, process, and individual patient participation.
90863 primary
Moderate
Pharmacological management with psychotherapy
Individual psychotherapy, 60 minutes (53+ minutes).
1 per day - 1 per day. Pharmacological management with psychotherapy. Combine medication management with brief therapy. Time typically 15-30 minutes.
Psychiatric Services Primary code
Aetna: $46.35 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
1 per day. Pharmacological management with psychotherapy. Combine medication management with brief therapy. Time typically 15-30 minutes.
90867 primary
High
TMS treatment; initial, including cortical mapping
Individual psychotherapy, 60 minutes (53+ minutes).
Initial treatment course - TMS treatment; initial session including cortical mapping and motor threshold determination. Typically 1 per treatment course.
Psychiatric Services Primary code
Aetna: $268.61 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
TMS treatment; initial session including cortical mapping and motor threshold determination. Typically 1 per treatment course.
90868 primary
Moderate
TMS treatment; subsequent delivery and management
Individual psychotherapy, 60 minutes (53+ minutes).
Per treatment session - TMS treatment; subsequent delivery and management sessions. Typically 1 per day during treatment course.
Psychiatric Services Primary code
Aetna: $194.95 Optum: $0.00
Documentation & MDM Details
  • Therapy duration: 53+ minutes documented
  • Moderate to high complexity: crisis intervention, trauma processing
  • Significant therapeutic content documented
  • Patient in acute distress or working through complex trauma
  • Detailed progress note with clinical formulation
MDM Checkpoints:
Complex presentation · Multiple data sources · Higher risk management
Frequency Note:
TMS treatment; subsequent delivery and management sessions. Typically 1 per day during treatment course.
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