90837 CPT Code Description (2025)

Regarding medical billing, CPT codes are crucial in ensuring accurate and timely reimbursement. One such code is the 90837 CPT code, used to bill for individual outpatient psychotherapy services rendered for 60 minutes. However, many people often need clarification about the code’s specifics, including what it entails and when it should be used.

Table of Contents

• What is the Procedure Code 90837 ?
• When should the 90837 CPT code be used?
• What are the requirements for using the CPT 90837?
• CPT Code 90837 Fee Schedule 2023
• FAQs:
• Conclusion: 
• Related Articles:

What is the Procedure Code 90837 ?

The 90837 CPT code is a billing code used by mental health practitioners to bill for psychotherapy sessions that last longer than 50 minutes. Specifically, it is used to bill for sessions between 53 and 60 minutes. Here’s what you need to know about the code:

• The CPT 90837 is time-based, meaning that the amount of time spent with the patient determines whether this code should be used.
• The code is often used for patients with severe mental health conditions that require longer therapy sessions.
• The procedure 90837 can only be used once per patient daily, regardless of the number of therapy sessions provided.

When should the 90837 CPT code be used?

The cpt code 90837 should be used when the patient requires a more extended therapy session. This could be due to various factors, including the severity of their mental health condition or the complexity of their treatment plan. Here are some examples of situations where the 90837 CPT code may be appropriate:

• The patient has a severe mental health condition that requires longer therapy sessions to address adequately.
• The patient has a history of trauma, and longer therapy sessions are necessary to allow them to work through their past experiences.
• The patient is experiencing significant stressors that require additional therapy time to address.

What are the requirements for using the CPT 90837?

To use the 90837 CPT code, the therapist must meet the following criteria:

• The therapist must be a qualified mental health practitioner licensed to provide psychotherapy.
• The therapy session must last between 53 and 60 minutes.
• The therapy session must primarily focus on psychotherapy and not other services such as medication management.

CPT Code 90837 Fee Schedule 2023

HCPCS Code	Short Description	Non-Facility Price	Facility Price	Non-Facility Limiting Charge	Facility Limiting Charge
90837	Psytx w pt 60 minutes	$147.07	$129.45	$160.67	$141.42

Also Read: ICD Codes

FAQs:

Conclusion:

The 90837 CPT code is a necessary code used by mental health practitioners to bill for longer psychotherapy sessions. Understanding its intricacies is crucial for accurate and timely reimbursement. We hope this comprehensive guide has helped demyst.

In conclusion, the 90837 CPT code is crucial in billing for longer psychotherapy sessions. Its proper use requires understanding its specifics, such as when, what requirements to meet, and how to use it with other codes. Mental health practitioners and insurance companies must work together to ensure accurate and timely billing for mental health services to enable patients to receive the care they need to lead healthy and fulfilling lives.

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