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cigna reimbursement for 90837

I have enjoyed serving (Aetna, Cigna, etc) clients and hope to do so in the future. We still recommend that you call the insurance companies in cases where youre not sure if 90837 is covered. Insane increases in demands for mental health providers. Outside of work, James can be found in Seattle drinking tea and playing frisbee. (From All Other Forms), Coastal Waters Creative - Local Business Websites and Digital Marketing, your client has an Adjustment D.O: 90837 is medically necessary to sort through complicated issues related to (what client is adjusting to) and clinical presentation., your client may have a trauma history: 90837 is medically necessary because significant trauma hx necessitates taking time to create safe space for disclosure and then containment., Or: 90837 is medically necessary to address complicated diagnosis and clinical presentation., One of my Medicare clients is a lovely and highly intelligent and high functioning 72 year old gentleman who has few contacts outside his family and a LOT to process as he is makes sense of his lifes decisions, which, according to developmental theory, is exactly what hes supposed to be doing at this stage of his life. We successfully bill 99404 everyday of the week. 90837 is defined as a session of 60 minutes, ranging from 53 minutes to longer. If there is a Medicaid Employee Assistance Program (EAP) visits are typically billed with the HJ modifier with a routine procedure code, i.e. James regularly works with therapists and mental health practitioners in helping them to better handle the challenges of Managed Care. Medicare covers annual depression screening for adults in the primary care setting that has staff-assisted depression care supports in place to assure accurate diagnosis, effective treatment and follow-up. Department Contact List for customer service, program telephone and fax numbers, and staff email. Ph.D. 90801 - $70 90806 - $70 90846 - $70 90847 - $70 Masters 90801 - $55 90806 - $55 90846 - $55 The payers seem to be allowing the use of the 99354 and in fact reimburse at a higher rate for the 99354 than the original procedure code. 90404: Cigna / MHN EAP sessions. CPT Code 99404 is an oddity in the collection of regularly billed CPT codes. Note: We only work with licensed mental health providers. The 96127 CPT Code has been getting serious attention from professionals who are looking to maximize their services / revenue with screening or assessment services. Thank you. All Rights Reserved. Our data is encrypted and backed up to HIPAA compliant standards. This is inflation: the increase in prices associated with an increase in money supply. Another add-on code 99355 can be billed for sessions that are even longer. For all other types of cookies we need your permission. SPN}s '. 90833 - Use add-on code for Individual psychotherapy, insight oriented, behavior modifying and/or supportive, 30 minutes with the patient and/or family member (time range 16-37 minutes), when . stream Guaranteed payback for every session in two weeks. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). You can call, text, or email us about any claim, anytime, and hear back that day. After waiting three to four weeks for receipt and processing, call provider relations to ensure your request has been received. For example, clinical nurse specialists are reimbursed at 85% for most services, while clinical social workers receive 75%. Behavioral Health Overlay Services Fee Schedule. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. Free Account Setup - we input your data at signup. Below are claims tips for common scenarios that you may encounter depending on the type of service you provide. x`i:;@MH HQH4qSQ Aj tPH;+.f`.+ Lung Cancer Screening Benefits to Change for Texas Medicaid Effective . Our data is encrypted and backed up to HIPAA compliant standards. 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. %%EOF My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Denny and his team are responsive, incredibly easy to work with, and know their stuff. The law states that we can store cookies on your device if they are strictly necessary for the operation of this site. . Because all sessions billed as 99404 are EAP, they should not have any patient responsibility. Please be assured that we are in no way asking you to change the way that you provide care to your patients, says Granados. For tips on coding private insurance claims, see: Contact the staff at the regional telehealth resource centerclosest to you for help setting up billing and reimbursement for a new telehealth service. Lets figure out how to get that money back and then some. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, https://therathink.com/provider-address-change-forms/, https://therathink.com/rate-negotiation-tool/, https://www.bls.gov/opub/ted/2021/consumer-prices-increase-6-2-percent-for-the-year-ended-october-2021.htm, Inquire about our mental health insurance billing service, offload your mental health insurance billing, Holiday availability on Thanksgiving, Christmas, We charge a percentage of the allowed amount per paid claim (only paid claims). Still, the vast majority of insurance companies consider 90387 to be routine and will cover it as they would other mental health procedure codes. CPT Code 90837 is a procedure code that describes a 60 minute individual psychotherapy session performed by a licensed mental health provider. Read More. While most smaller insurers follow the standard protocol, a few like MHN may ask you to file with 99404. This website is not intended for residents of New Mexico. For CPT, use add-on code 99417 for prolonged care. We understand that it's important to actually be able to speak to someone about your billing. Cigna Healthcare monitors claims by conducting claims audits and by reference to medical records. Im Starting a Counseling Practice Do I Need an LLC? Health care billing code changes initiated during the COVID-19 public health emergency cover telehealth and include specific information for audio-only or video-only visits. Many therapists were able to get reimbursed using these Prolonged Services codes for many years. Cigna contracts with Medicare to offer Medicare Advantage HMO and PPO plans and Part D Prescription Drug Plans (PDP) in select states, and with select State Medicaid programs. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Please comment below and let us know if you have been awarded increases in pay! <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 22 0 R] /MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Step one is to find contact information for the various insurance companies that youre working with. Many states currently match Medicares telebehavioral and telemental health coverage. According to the CPT manual, 99050 is used for "services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (e.g., holidays, Saturday or Sunday), in addition to basic service . We'll assume you're ok with this, but you can opt-out if you wish. I know this code should not be used for ongoing couples or family treatment. Anthony is a Private Practice Consultant for the American Counseling Association, columnist for Counseling Today magazine, and author of How to Thrive in Counseling Private Practice. that insure or administer group HMO, dental HMO, and other products or services in your state). The existing prolonged care CPT code for office visits, 99417, may not be used with psychotherapy codes 90837 or 90838. We recognize that each service is billed dependent on your clinical judgement and the nature of the presenting problem.. We recommend calling if you know that you will have an extended session or if you want to check before you file a claim. Individual practitioners providing behavioral services at Cigna-participating medical practices: If you are providing behavioral services at a Cigna-participating medical practice and are not accepting direct referrals from the community, call 1.800.88.Cigna (1.800.882.4462) to apply to the practice's medical contract. %PDF-1.5 Every provider we work with is assigned an admin as a point of contact. It's our goal to ensure you simply don't have to spend unncessary time on your billing. Thank you. CPT Code 99404 Description 99404 is defined as Preventive medicine counseling and/or risk factor reduction intervention (s) provided to an individual. 90837 Psychotherapy (60 min) 90846 Family Psychotherapy (without patient present) 90847 Family Psychotherapy (with patient present) Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see Cigna will reimburse virtual care services when all of the following are met: 1) Modifier 95 or GQ or GT is appended to the appropriate Current Procedural Terminology (CPT) and/or HCPCS procedure code(s); 2) Services must be interactive and use both audio and video internet- based technologies Free Account Setup - we input your data at signup. Ambulance Joint Response/Treat-and-Release Reimbursement. Although Medicare reimburses for audio and video telehealth services, reimbursement for audio-only telehealth services is currently only covered through December 31, 2024. TheraThink.com 2023. Every provider we work with is assigned an admin as a point of contact. . The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical . Psychotherapy Psychiatric Therapeutic Procedures (CPT Codes 90832-90838, 90845-90853, 90865): A. Reimbursement for out-of-network plans is a possibility. Medicare telehealth services practitioners use "02" if the telehealth service is delivered anywhere except for the patient's home. Department of Vermont Health Access. What a 2020 and 2021. In order to ensure I do not change the proportion of clients away from (Aetna, Cigna, etc), I ask for a fair but competitive increase in pricing to keep up with my other insurance contracts. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! To determine whether or not your patient's Cigna-administered plan covers preventive care and at what coverage level (100% or patient cost share), visit the Cigna for Health Care Professionals website (CignaforHCP.com) to verify benefit and eligibility information, or call 800.88Cigna (800.882.4462). The USA Consumer Price Index has now shown a 6.2% increase in prices in 2021. My daily insurance billing time now is less than five minutes for a full day of appointments. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, Inquire about our mental health insurance billing service, offload your mental health insurance billing, We charge a percentage of the allowed amount per paid claim (only paid claims). ) g 2!#`6X V^V|[ =H*pB22Dl,x*LBqUR` '.rcUaup0aX*KXBX2^"%"4:9zt %1*|hHH0:^fTh Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Get credentialed with major insurance payers in under 45 days. The information on this page is not intended to replace assistance, diagnosis, or treatment from a clinical or medical professional. I have completed the following continued education courses: (OPTIONAL, examples) I also specialize in the following languages and treatment modalities and offer additional hours during the following times: *NOTE* Do not lie here! So are you out of luck and stuck with just billing 90837? You can call, text, or email us about any claim, anytime, and hear back that day. This amounts to typically ~13-20% more per session. 1 0 obj Applied Behavior Analysis (ABA) Billing. Hours of Operation: Monday-Friday (Excluding Holidays) 7:45am - 4:30pm We take on the administrative burden so you can focus on getting patients the care they need, and get paid in a timely manner. Information on Medicaid reimbursement for telehealth by state is available at the Center for Connected Health Policy with live policy trend maps. 351 0 obj <>/Filter/FlateDecode/ID[<530522553D6C3C4C9D6A83AC59063BD3>]/Index[333 44]/Info 332 0 R/Length 95/Prev 203164/Root 334 0 R/Size 377/Type/XRef/W[1 3 1]>>stream Counselors Practicing Without a License: Is it Legal? Make sure to send your letter with an authorized signature required. You free me to focus on the work I love!. Every provider we work with is assigned an admin as a point of contact. Cigna Insurance Company It is unique in that their reimbursement rates do not vary based on behavioral health service provided. 6trZenlH!)4Sh!B2d4N={3i[qi1Ok0&2T"\W^YxeT 8)d Readers are urged to seek professional help if they are struggling with a mental health condition or another health concern. Medicare Part B covers medically necessary outpatient mental health benefits for psychiatric services . If you arent committing fraud, why should you change anything? You can now check eligibility (PDF) for the flu shot. CPT code 90837: Psychotherapy, 1 As the authority on the CPT code set, the AMA is providing the top-searched codes to help remove obstacles and burdens that interfere with patient care. h8}l[d(yl@{[04ou)Wh4J3rI+\#0*,,aj( S4%P,0,SQ*WPK W&\S B Q C`aQV&*1T>oxc(oMa"SaW*]=Ho|0. TheraThink provides an affordable and incredibly easy solution. endstream endobj 334 0 obj <>/Metadata 10 0 R/Pages 331 0 R/StructTreeRoot 19 0 R/Type/Catalog>> endobj 335 0 obj <>/MediaBox[0 0 612 792]/Parent 331 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 336 0 obj <>stream % It's our goal to ensure you simply don't have to spend unncessary time on your billing. Z /K>K'z ^ Zs/ ^ Wd l, W ^ WZ/D Zz K K&& Z ^ Zs/ z , / d ^ E U , KZ Z /E U t/d,Khd KEdZ ^d EK Let us handle handle your insurance billing so you can focus on your practice. Cigna will typically cover 60-70% of the allowed amount for out-of-network coinsurance reimbursements. Well teach you the ins and outs of coding 90837 but if youd prefer to have a pro team handle your mental health insurance billing, consider reaching out to TheraThink to learn how we can help. We accept most insurances, and offer weekend and evening sessions. My daily insurance billing time now is less than five minutes for a full day of appointments. Telebehavioral health requirements with safety-net providers(PDF) from the Centers for Medicare & Medicaid Services. We give information from claims billed in the last 18 months: CPT or HCPCS codes Dates of service NPIs who administered the shots If you need help, contact your eligibility service provider. We are your billing staff here to help. 90785: Interactive Complexity add-on code (Used in conjunction with CPT codes 90791, 90832, 90834, 90837, or 90853) 90887: Consultation with Family. We also enforce a tiered review process in which at least three individuals two or more being licensed clinical experts review, edit, and approve each piece of content before it is published. TheraThink provides an affordable and incredibly easy solution. Marketing cookies are used to track visitors across websites. (OPTIONAL, examples) Beyond these financial concerns, I have continued to seek education regarding treatment and care for my clients (patients). Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). All Rights Reserved. x]n77w8:$@H6{08{!Ed3dU I Y:],Vlv/??rjw^tsr'Qvrw{tzq.wOo/w!#_jglnr{xvrRv/5~wzz}uw/vnx+zZZf6|_q^iJ;wROMt?\>O/=KmqU8^-J|R!mw6B;\Wo.?._>yM). If you have any questions, comments or concerns about this website please send us a message. var today = new Date(); You can call, text, or email us about any claim, anytime, and hear back that day. He is a multistate Licensed Professional Counselor (LPC) and has been quoted in national media sources including The Boston Globe, the Chicago Tribune, and CBS Sunday Morning. Flu Shots Get payment, coverage, billing, & coding information for the 2022-2023 season. Planned services performed in the evening, weekend, or during a holiday. These codes are not intended to limit the length of time you schedule for psychotherapy. ICD-10 codes (medical necessity): It is the responsibility of the provider to code to the highest level specified in the ICD-10 CM. Confused? Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. 99404 is defined as Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual. In addition to providing exceptional clinical care and customer service, we accomplish our mission by offering important information about mental health and self-improvement. 333 0 obj <> endobj As with all of these codes, both CPT and HCPCS, the prolonged code may only be added to the highest-level code in the category and then only when time is used to select the service. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. These forms may only be used if your employer is head quartered in the Commonwealth of Virginia, and you are enrolled in a medical, behavioral, pharmacy or dental plan that is underwritten by Cigna Health and Life Insurance Company. The pre-authorization requirement was not extended onto the other frequently used procedure codes, 90791 or 90834. We are your billing staff here to help. Not billing for the time you spend leaves a lot of money on the table. Medical and Dental 1 (800) 88CIGNA (882-4462) Behavioral 1 (800) 926-2273 Pharmacy Email us Reimbursement policies are intended to reflect Highmark's coding & reimbursement guidelines. Progress Notes webinar What Should Be In Your Charts. Not every therapist does sessions at these exact time intervals. Denny and his team are responsive, incredibly easy to work with, and know their stuff. A .gov website belongs to an official government organization in the United States. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. To afford these changes in routine spending, Im requesting this increase in reimbursement. You'll always be able to get in touch. Finding the Right Clients for your Counseling Practice. Since it is an add-on code it must be billed with 90837 or 90847 (90791 and 90834 are not allowed). Website Design & Marketing by AbundantPractices. United Healthcare has reversed course and as of 2019, Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, Inquire about our mental health insurance billing service, offload your mental health insurance billing. Individual providers then were compared to their specialtys baseline. For the aforementioned reasons, I am requesting reimbursement increases for the following CPT codes. There is no way to report prolonged care with psychotherapy. >i|G;lXVXqenu(9R 87636 - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19 . Coding prolonged services in a home or residence. Prolonged codes 99354, 99355 were deleted in 2023. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only. You'll always be able to get in touch. Preference cookies enable a website to remember information that changes the way the website behaves or looks, like your preferred language or the region that you are in. <> 20229083790837 billing guide90837 reimbursement ratecode 90837cpt code 90837procedure code 90837. Services performed outside of business hours. Intake reimbursement increased also from $100.81 for 90801 in 2012 to $106.94 for 90791 in 2013, an increase of about 6%. HHSC Release of Autism Services Benefits Effective February 1, 2022. Code listed above is not a guarantee of coverage for service. The following Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes are used to bill for telebehavioral and telemental health services and have been codified into the current Medicare Physician Fee Schedule (PFS). 90832 Individual psychotherapy, insight oriented, behavior modifying and/or supportive, 30 minutes with the patient and/or family member (time range 16-37 minutes). Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. The social work and counseling CPT codes below are additional codes that may be used by social workers in various areas of service. Thank you. (Source)The inversion of this statistic is that if you havent had an increase in your rates in 2021, youve lost 6% of your hourly rate. 914 90837 No CMS 1500 UB only if OP on Facility Contract Psychotherapy performed with patient and E&M - 60 minutes 914 90838 No CMS 1500 UB only if OP . This ensures we provide valuable resources to our readers. endobj Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. If you have received an increase in rates, ask for something more modest like 6.5%-10%. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. The above list of codes eligible for reimbursement via various telemedicine modalities may vary based on state law or regulation to the contrary. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. Fee Schedule. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. Psychiatry and Psychotherapy Services. These telebehavioral health services are not Medicare reimbursable. Code 90837: Psychotherapy, 60 minutes with patient and/or family member. Article Index CPT Code 90837 Description 2 0 obj Enhanced payback rates for teletherapy and in-person visits. Apply to Customer Service Representative, US Medical Claims Arbitrator (remote), Client Associate and more! `W5|G7+.XlR{U-,-/8{.o-t1[h\v?fEs41Mjo[x#2-(].n1sF--;UY*v!lf:i7@?WT~f-s6KS`Z]BWT_px+Dg]INVY+M}j"-oE&LtImElW3k}15)y3/kK}J[tO"gRY>sXq3E>sYZnv-}ZnK}$nYU?sWk*NYM^"grs62X~hJZvS>f(bS.#G?Efc^nh jGe1lf~,?l@!#.GC?{.|/}XK.&KW">uxv1kWkPKeB_2[~h ,Uh~][/r!Z~2c]uD9$bEtx1'%99`#BR%muoQt\M-?Lh+}8-Eeb%%H1g3Ke%y:fe]o.3_K,Y;RVRkl=[8 fdO&xdbdR8Y, sqo-i_3AA5;VjvPM VC8L5qZjAL, utof{6k h{ C8GXpvk0"8wV3zQ hkxo_s%g62lk#F|#FU qkLbg a C\J@{{35a&Cx-393E%. What matters is whether you are using the code correctly. Free Account Setup - we input your data at signup. endstream endobj startxref Billing Multiple Lines Instead of Multiple Units. Copyright 2008- Paper Street Press. I cannot capture in words the value to me of TheraThink. To learn more, contact your insurance company and ask about your reimbursement rates for in-network and out-of-network providers. Documentation Wizard, Misery or MasterySM, and the Documentation Wizard Logo are service marks of Beth Rontal.Designed and Hosted by Coastal Waters Creative - Local Business Websites and Digital Marketing, This website uses cookies to improve your experience. Are you interested in joining the Thriveworks clinical team? hqow! Appeals and Disputes HIPAA Transaction Standards Questions? Rated 4.5 overall from 10,849 Google reviews. During the last three . Should Counselors Sign Non-compete Agreements? CHCP - Resources - Clinical Reimbursement Policies and Payment Policies Clinical Reimbursement Policies and Payment Policies Here you will find links to several key resources for health care professionals to help your practice perform efficiently and make it easier to do business with Cigna. We understand that it's important to actually be able to speak to someone about your billing. TheraThink.com 2023. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Having more social contacts is one of the goals but is taking a long time to achieve.. This is a good use of money! Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). The definition of 99417 is above. Reimbursement Rate Updates for Procedure Code Q5123 Effective July 1, 2021. Note: We only work with licensed mental health providers. Setting a No-show Cancelation Policy for Your Counseling Practice, 2013 CPT Code Revisions: What the Changes Mean for Counselors, CPT Code Add On FAQ: 2013 Changes for Mental Health Providers. Browse top-rated therapists near you, and find one who meets your needs. Please call the Suicide & Crisis Lifeline at 988 or use these resources to get immediate help. procedure code and description. a listing of the legal entities CPT Code 99404: Cigna EAP Make it easy and rewarding to go in-network. Receive orders for biometrics, blood work and screenings at local facilities 2 Types of conditions treated: Allergies Sore throat Headache Bronchitis Cold and flu Stomach ache Urinary tract infection (18 or older) Skin conditions such as rashes, moles, eczema, and psoriasis And more Urgent Care On-demand virtual care for minor medical conditions Finally, we frequently update old content to reflect the most up-to-date information. 1. I consent to the use of following cookies: Necessary cookies help make a website usable by enabling basic functions like page navigation and access to secure areas of the website. Let us handle handle your insurance billing so you can focus on your practice. The Consumer Price Index stated by the federal government has increased 6.2% in 2021 alone (https://www.bls.gov/opub/ted/2021/consumer-prices-increase-6-2-percent-for-the-year-ended-october-2021.htm). In addition, we only use authoritative, trusted, and current sources. Health behavior intervention, family without patient. Counselor Fees for Records Requests, Court Appearances, Letters, Treatment Summaries, etc. Be sure to also include the authorization in box 23. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. TheraThink provides an affordable and incredibly easy solution. Medicare deems the following services should be be included when billing 90837: Likewise when treating clients with intellectual disabilities, use other CPT codes. James Schergen is a co-founder of TheraThink. Promulgated Fee Schedule 2022. But Cigna has a different requirement. Free Account Setup - we input your data at signup. This means a traditional 50-minute therapy hour should be billed as 90834; however, this also means that you should be rightfully reimbursed for longer . BlueCross BlueShield, HealthPartners, Aetna, PreferredOne and Cigna have all reimbursed for the service." Out of this fear, many therapists are choosing to downcode sessions, using the 90834 45-minute psychotherapy code instead, which typically represents lower reimbursement.

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