CPT Codes

The 90785 CPT code is the interactive complexity add-on for psychotherapy. Learn the four qualifying factors, what it does and doesn't pay for, and the common 90785 denials.

The 90791 CPT code bills a psychiatric diagnostic evaluation (intake). Learn what it covers, frequency limits, modifiers, and the common denials that hit 90791 claims.

The 90792 CPT code bills a psychiatric diagnostic evaluation with medical services. Learn who can bill it, how often, how it differs from 90791, and the common 90792 denials.

The 90832 CPT code bills a 30-minute individual psychotherapy session. Learn the 16–37 minute window, the add-ons and modifiers it takes, and the denials that affect 90832.

The 90834 CPT code bills a 45-minute individual psychotherapy session. Learn the time window, units, modifiers, and the common denials that affect 90834 claims.

The 90837 CPT code bills a 60-minute individual psychotherapy session. Learn the time threshold, units, modifiers, and the common denials payers apply to 90837.

The 90839 CPT code bills the first 60 minutes of psychotherapy for crisis. Learn the time window, the 90840 add-on, what qualifies as a crisis, and common 90839 denials.

The 90846 CPT code bills family psychotherapy without the patient present. Learn what collateral sessions it covers, how it differs from 90847, and the common 90846 denials.

The 90847 CPT code bills family psychotherapy with the patient present. Learn what it covers, the 50-minute guide, modifiers, and common denials on 90847 claims.

The 90853 CPT code bills group psychotherapy, reported once per patient in the group. Learn what it covers, why each member is billed separately, and the common 90853 denials.

The 90875 CPT code bills psychophysiological therapy combining biofeedback with psychotherapy, about 20-30 minutes. Learn what it requires, how it differs from biofeedback codes, and denials.

The 92507 CPT code bills individual treatment of a speech, language, voice, or communication disorder. Learn how it is billed per session, the modifiers it needs, and common denials.

The 92523 CPT code bills a combined speech-sound and language evaluation. Learn what it assesses, why it replaced the old codes, the once-per-day rule, and common 92523 denials.

The 92526 CPT code bills treatment of swallowing dysfunction and oral feeding function. Learn what dysphagia therapy it covers, how it is billed per session, and the common 92526 denials.

The 96127 CPT code bills a brief emotional or behavioral assessment per standardized instrument. Learn how units and frequency work, pairing with E/M visits, and common denials.

The 96130 CPT code bills psychological testing evaluation services by a provider, first hour — data integration, interpretation, and report. Learn the 96131 add-on and denials.

The 96136 CPT code bills psychological or neuropsychological test administration and scoring by a provider, first 30 minutes. Learn units, the 96137 add-on, and denials.

The 97010 CPT code bills hot or cold pack application — but Medicare treats it as a bundled, non-separately-payable service. Learn when it pays, why it is bundled, and common denials.

The 97014 CPT code bills unattended electrical stimulation — but Medicare requires G0283 instead. Learn the code split, why 97014 is a supervised untimed modality, and common denials.

The 97035 CPT code bills therapeutic ultrasound in 15-minute units. Learn why it is a constant-attendance timed code, how the 8-minute rule applies, and the common 97035 denials.

The 97110 CPT code bills therapeutic exercise in 15-minute units. Learn the 8-minute rule, modifiers like GP and 59, and the common denials that affect 97110 claims.

The 97112 CPT code bills neuromuscular re-education in 15-minute units. Learn what it treats, the 8-minute rule, the modifiers it needs, and the denials that affect 97112 claims.

The 97140 CPT code bills manual therapy techniques in 15-minute units. Learn the 8-minute rule, the 97110 bundling edit and modifier 59, and the common 97140 denials.

The 97151 CPT code bills a behavior identification assessment in ABA, in 15-minute units by a BCBA. Learn what it covers, authorization and unit limits, and common denials.

The 97153 CPT code bills adaptive behavior treatment by protocol — direct ABA therapy by a technician, in 15-minute units. Learn unit caps, the direction rule, and denials.

The 97155 CPT code bills adaptive behavior treatment with protocol modification by a BCBA, in 15-minute units. Learn how it differs from 97153, concurrent billing, and denials.

The 97161 CPT code bills a low-complexity physical therapy evaluation. Learn what defines low complexity, why it is untimed, the re-evaluation rule, and common 97161 denials.

The 97162 CPT code bills a moderate-complexity physical therapy evaluation. Learn what defines moderate complexity, why it pays the same as other tiers, and the common 97162 denials.

The 97163 CPT code bills a high-complexity physical therapy evaluation. Learn what clinical factors justify the top tier, why scrutiny is higher, and how to avoid 97163 downcoding.

The 97165 CPT code bills a low-complexity occupational therapy evaluation. Learn how performance deficits set the level, why it is untimed, and the common 97165 denials.

The 97166 CPT code bills a moderate-complexity occupational therapy evaluation — three to five performance deficits with comorbidities. Learn the tier rules and common denials.

The 97530 CPT code bills therapeutic activities in 15-minute units. Learn how it differs from 97110, the 8-minute rule, modifiers, and common 97530 denials.

The 97535 CPT code bills self-care and home management training in 15-minute units. Learn what activities qualify, the 8-minute rule, the documentation payers expect, and common denials.

The 99205 CPT code bills the highest-level new patient office visit. Learn the 60–74 minute time rule, high-complexity MDM, modifiers, and the denials that hit 99205 claims.

The 99213 CPT code bills a low-complexity established patient office visit. Learn the 2021 time and MDM rules, modifiers, and the common denials on 99213 claims.

The 99214 CPT code bills a moderate-complexity established patient office visit. Learn the 2021 time and MDM rules, modifiers, and the common denials on 99214 claims.

The 99404 CPT code bills a 60-minute individual preventive medicine counseling session. Learn the time threshold, who can report it, and the common 99404 coverage denials.

The G0283 code bills unattended electrical stimulation for Medicare therapy claims, replacing 97014. Learn when to use it, the non-wound rule, and common G0283 denials.

The H0031 HCPCS code bills a mental health assessment by a non-physician. Learn who can report it, how it differs from CPT 90791, and the common H0031 Medicaid billing rules.

The H2019 HCPCS code bills therapeutic behavioral services in 15-minute units. Learn what it covers, the Medicaid unit and supervision rules, and common H2019 denials.