What Is CPT Code 90837?

CPT code 90837 is used for psychotherapy sessions that last 60 minutes or more with the patient. Unlike shorter therapy sessions, this code is specifically for extended visits where the complexity or patient needs require additional time.

Key points include:

• Duration is 60 minutes or more

• Can be used with or without medication management, depending on payer rules

• Requires documentation supporting the extended time and medical necessity

---

When to Use CPT Code 90837

CPT code 90837 should be used in situations such as:

1. Longer Therapy Sessions
   When a patient requires in-depth exploration of behavioral, emotional, or psychological issues that cannot be completed in a standard 45-minute session.

2. High Complexity Cases
   Patients with severe mental health conditions, complex trauma, or co-occurring disorders may need extended sessions.

3. Proper Documentation Exists
   The medical record must clearly show the session lasted at least 60 minutes and justify why additional time was medically necessary.

---

Common Denial Risks for CPT Code 90837

Despite its clear guidelines, CPT code 90837 is frequently denied due to:

• Insufficient documentation of time

• Billing for 90837 when the session is under 60 minutes

• Using 90837 instead of 90834 for shorter sessions

• Payer-specific edits that require modifiers

Proper coding and documentation are essential to prevent these denials.

---

Tips for Accurate Billing of CPT Code 90837

1. Document the Exact Time
   Include start and end times, along with a summary of the session content.

2. Demonstrate Medical Necessity
   Explain why a 60-minute session was required to address the patient’s condition effectively.

3. Use Appropriate Modifiers if Needed
   Some payers require modifiers if the session is combined with other services or if additional complexity is involved.

4. Audit Regularly
   Review therapy notes and billing practices to ensure CPT code 90837 is being used correctly and consistently.

---

How Billing Care Solutions Helps With CPT Code 90837

At Billing Care Solutions, we specialize in behavioral health billing and ensure your practice gets maximum reimbursement while staying compliant. Our services include:

• Accurate CPT code selection and documentation review

• Denial prevention and management

• Payer-specific coding guidance

• Audit-driven compliance checks

• Resubmission and appeal support

With our expert support, your practice can focus on patient care while we optimize your revenue cycle.

---

Conclusion

CPT code 90837 is vital for billing longer psychotherapy sessions, but its proper use requires careful attention to documentation, time tracking, and payer requirements. By following best practices, your practice can reduce denials, streamline billing, and ensure accurate reimbursement.

For assistance with CPT code 90837 or any behavioral health billing challenges, Billing Care Solutions is here to help.

Visit BillingCareSolutions.com to learn more or request a consultation today.