What is CPT code 90834 hj?
Asked by: Dr. Chase Rippin MD | Last update: March 27, 2025Score: 4.9/5 (64 votes)
What is an hj modifier?
The HJ modifier is used to code Employee Assistance Program (EAP) visits. It is considered the standard for filing EAP claims with most, but not all insurers. This contrasts with other commonly used H codes which are used to describe the level of education of the rendering provider.
What is CPT code 90834 used for?
The CPT code 90834 is used for individual psychotherapy sessions that are 45 minutes long.
What is the HO modifier used for?
The HO modifier is used to identify mental health services provided by professionals holding a Master's degree in a related field, such as psychology, counseling, or social work. It indicates that the services were rendered by a mental health professional with an advanced level of education and training.
What is the CPT code for a 2 hour psychotherapy session?
This is a super short guide on billing a typical 2 hour individual therapy session for outpatient mental health therapy. You'll want to use your typical 90837 CPT code.
2023 Behavioral Health Integration (BHI) CPT Codes, Billing, and Reimbursements
What is the difference between CPT code 90834 and 90837?
90834: This code is used for sessions lasting between 38 and 52 minutes, falling within the commonly referred to "45-minute" therapy session range. 90837: This code is reserved for longer sessions, lasting 53 minutes or more, often referred to as "60-minute" sessions.
How to bill for an extended therapy session?
Billing Extended Sessions for Individual Therapy
It's important to note that if you are seeing a client for 60 minutes or under, make sure to bill using CPT codes 90832, 90834, or 90837 alone. Do not bill using add-on codes if sessions are not extended. Services performed outside of business hours.
What does the AH modifier mean?
AH Modifier – Doctorate Level or Clinical Psychologist (PhD or PsyD) AF Modifier – Psychiatrist (MD) HN Modifier – Bachelor's Degree Level (BA, BS)
What is the CPT code for intensive therapy?
Common Intensive Outpatient Program Billing Codes
Psychotherapy Codes - CPT codes 90832-90838: These codes cover individual psychotherapy sessions of varying durations, including initial assessments and subsequent sessions.
What 2 types of modifiers may be used with anesthesia codes?
Pricing modifiers must be placed in the first modifier field to ensure proper payment (AA, AD, QK, QX, QY, and QZ). Informational modifiers are used in conjunction with pricing modifiers and are placed in the second modifier position (QS, G8, G9, and 23).
Does CPT 90834 need a modifier?
In behavioral health, the modifier 95 is added to the original code to signify teletherapy. For example, you would add the 95 modifier to 90834 to signify a 45-minute teletherapy session (i.e., 90834-95).
How many minutes to bill for 90834?
CPT® code 90834: Psychotherapy, 45 minutes.
Why are therapy sessions 45 minutes?
This can vary, depending on multiple factors, but the average length of time falls between 45 and 55 minutes. Why not a full hour? Therapists need time to write and go over notes and get ready for their next session or next client. Having a 5–15-minute window of time gives them a chance to do this.
What is the HA modifier used for?
HA HCPCS Code - Child/adolescent program.
What is the difference between CPT and EAP?
Chargeable EAP: Epic site-specific code that is used to determine final charge for the service. CPT: Current Procedural Terminology code used outside of Epic to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.
What is the CPT code for ICU visit?
For CPT, code 99291 is used to report the first 30–74 minutes of critical care on a given date. It should be used only once per date. Code 99292 is reported when the total critical care time extends beyond the initial 74 minutes allotted by 99291.
What is the reimbursement rate for 90837 vs 90834?
Due to the extended length, 90837 does indeed pay more than 90834. Depending on your credentials, we've found that 90837 can pay between $9-20 more on average than a 90834 appointment. This amounts to typically ~13-20% more per session. Medicare has published their 60 minute individual therapy reimbursement rates.
How to bill an intensive outpatient?
IOP Coding and Billing Requirements
Report condition code 92 to identify intensive outpatient claims and revenue code 0905 when billing for IOP services. Submit the appropriate HCPCS or CPT codes describing IOP services from the attachment to CR 13264.
What is HJ modifier code?
One commonly used example is the HJ modifier which is usually used to code Employee Assistance Program (EAP) visits. Modifiers are normally used in addition to the CPT codes to fully describe the service.
Can you bill 90834 and 90846 on the same day?
90846 and 90847 should not be reported for family therapy sessions shorter than 26 minutes. Codes 90832, 90833, 90834, 90836, 90837, 90838 can be reported on the same-day as codes 90846 and 90847, provided that the services are separate and distinct.
What is the GV modifier for?
The GV modifier is used when a physician is providing a service that is related to the diagnosis for which a patient has been enrolled in hospice.
How long is a 90834 session?
90834 Time Frame
Typically individual therapy sessions coded with 90834 must between 38 and 52 minutes in length.
Can I bill my insurance for therapy?
If you plan to use your insurance to cover your therapy costs, ask your provider what billing codes they use to code their sessions. Then, call your insurance's customer service number and ask if your plan covers those billing codes.
Can I bill 90837 for 50 minutes?
Time Requirements and Service Criteria for Billing 90837
Code 90837 is for 60-minute therapy sessions, defined as 53 minutes or longer. Anything less than 53 minutes would use code 90834 (45-minute session). For 90837, the actual session time must be documented in your notes. Rounding up or down is not allowed.