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CPT Code 90834 Mental Health Guide with 2025 Reimbursement Rates

In png show head of mental person for treatment process professional use code CPT Code 90834

CPT Code 90834 is widely used in mental health billing, specifically for individual psychotherapy sessions lasting 45 minutes. Understanding this code is key to accurate billing and timely reimbursements.

What is CPT Code 90834?

90834 represent 45-minute individual psychotherapy sessions in outpatient settings. It includes supportive, behavior-modifying, or insight-oriented therapy but excludes services like recreational therapy or teaching life skills.

For sessions involving medical evaluation and management, pair 90834 with an add-on code like +90833.

2025 Reimbursement Rate for 90834

The 2025 rate is $104.16, reflecting a steady annual increase. Here’s how it compares to prior years:

  • 2024: $101.51
  • 2023: $99.97
  • 2022: $112.29

Reimbursement typically covers 70%-80% of what a 60-minute session (CPT 90837) would receive.

90834 vs. 90837

  • 90834: 45-minute sessions (38–52 minutes).
  • 90837: 60-minute sessions (53+ minutes).
    Choose the appropriate code based on the session length for accurate claims.

Add-On Codes for 90834

Enhance medical billing accuracy with these common add-ons:

  • +90785: Interactive complexity (e.g., play therapy).
  • +99050: After-hours services.
  • +99051: Evening, weekend, or holiday sessions.

Using Modifiers with 90834

Modifiers help clarify the context of the service and ensure accurate reimbursement. Here are common modifiers for CPT Code 90834:

Telehealth Modifiers

    • 95: Indicates the session was delivered via a real-time audio-visual telecommunication system.
    • GT: Similar to 95, but used by specific payers like Medicaid.
    • GQ: For asynchronous telehealth (e.g., store-and-forward services).

Service Location Modifiers

    • POS 02: Used when the session is provided via telehealth from a location other than the patient’s home.
    • POS 10: Used when telehealth is provided from the patient’s home.

Tips for Accurate Billing

  • Document Precisely: Record session duration and details thoroughly.
  • Use Modifiers Correctly: Add modifiers for telehealth or additional services.
  • Stay Updated: Regularly review coding guidelines to avoid claim denials.

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Avoid Common Mistakes

  • Incorrect Duration: Always match session length to the right code.
  • Inadequate Documentation: Keep comprehensive treatment records.
  • Outdated Practices: Follow current CPT updates to maintain compliance

Final Thoughts

Mastering CPT Code 90834 ensures smoother reimbursements and better transparency in treatment records. Accurate billing supports a healthy cash flow for practices and fosters client trust. By staying informed and proactive, mental health professionals can focus on delivering quality care while maintaining financial stability.

For expert assistance with billing, consider partnering with a trusted mental health billing service.

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