What is procedure code 90846?
What is procedure code 90846?
90846. 90846 identifies family psychotherapy services without the patient present. This code may be used on the same day as an individual psychotherapy service is provided when the services are separate and distinct for the patient. The session is for 50 minutes and the time range is 26 minutes or more.
Who can bill CPT code 90846?
90846 License Level Requirements Make sure you are a licensed mental health professional with one of the following license levels to bill 90846: Licensed Clinical Social Workers (LCSW) Licensed Professional Counselors (LPC) Licensed Marriage Family Therapist (LMFT)
Does 90846 need a modifier?
Logic: 90846 is the primary code (Column 1), 90847 is a component (Column 2). The component service must be billed with modifier -59.
Does Medicare pay for 90846?
12. Medicare coverage of family therapy codes 90846, 90847 and 90849 is extended whenever medically necessary. 13. Codes 90846 and 90847 will be considered for payment under Medicare only for treatment of the Medicare beneficiary’s mental illness.
Is 90846 an add-on code?
90846 & 90847 Add-On Codes for Extra Billing Time If your services are longer than 74 minutes, often the case with marriage counseling or family therapy codes, use +99354 to bill an additional 30 minutes of time. So if your session is between a bit over an hour and 1 hour and 45 minutes, use +99354.
Can 90837 and 90846 be billed together?
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.
Is 90846 an add on code?
Does Medicaid pay for 90846?
The most variability among eligible provider types within Medicaid occurred with codes 90846 and 90847 (family or couples therapy with/ without patient). California, Illinois, South Dakota, and Texas did not reimburse for 90846 at all, while South Carolina and Wyoming allowed only clinical psychologists or …
Is 90846 a timed code?
Codes 90846 and 90847 are not time based but are typically 45 to 60 minutes in duration. Code 90849 describes group therapy sessions to support multiple families and is not typically covered by Medicare.
