Did you get a letter from Blue Cross or another insurance plan, saying something about your use ofthe 90837 CPT code (Psychotherapy 60 min)? ;!^Z :bVqGc}C'{~=ugtr?yh>/vJy">{N S!@tDicSlNKc5V;VxDt?OJBo'#p!JLq?:Z>6Sl| r49 ?8?i2svJu\ RT For psychotherapy sessions lasting longer than 90 minutes, reimbursement will only be made if the report is supported by the medical record Obvious but please be honest. Behavioral Health Overlay Services Fee Schedule. Your Medicaid License impacts the "Practitioner Level" that you have which influences your reimbursement rates. Secure .gov websites use HTTPS This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. Medication management: +90863 when provided in addition to a psychotherapy session on the same day; use in conjunction with (90832,90834 and 90837). Just like other EAP visits, Cigna also requires that an authorization number is included. We recommend calling if you know that you will have an extended session or if you want to check before you file a claim. Outside of work, James can be found in Seattle drinking tea and playing frisbee. Depending on your credentials, weve found that 90837 can pay between $9-20 more on average than a 90834 appointment. Promulgated Fee Schedule 2022. Hurricane Ida Information for Medicaid Providers. Counselors Top 18 Marketing & Advertising Mistakes in Private Practice. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. 333 0 obj <> endobj endstream endobj startxref Planned services performed in the evening, weekend, or during a holiday. I hope to continue to serve (Aetna, Cigna) clients for years to come. Insane increases in demands for mental health providers. It's our goal to ensure you simply don't have to spend unncessary time on your billing. Still, the vast majority of insurance companies consider 90387 to be routine and will cover it as they would other mental health procedure codes. MID-LEVEL REIMBURSEMENT Beginning on January 1, 2021, we are requiring all Advanced Practice Providers (APPs) to enumerate in our reimbursement systems. Mental Health Reimbursement Ranges Average Payment Per Insurance Company Credentialing Recommendations for New Practices & Established Practices Highest Paying Insurance Companies for Mental Health Which Companies Are The Hardest to Bill Medicare Reimbursement Rates [Search by CPT Code] Tips on Avoiding Low Reimbursement This ensures we provide valuable resources to our readers. For CPT, use add-on code 99417 for prolonged care. We are dedicated to providing you with valuable resources that educate and empower you to live better. You can call, text, or email us about any claim, anytime, and hear back that day. `W5|G7+.XlR{U-,-/8{.o-t1[h\v?fEs41Mjo[x#2-(].n1sF--;UY*v!lf:i7@?WT~f-s6KS`Z]BWT_px+Dg]INVY+M}j"-oE&LtImElW3k}15)y3/kK}J[tO"gRY>sXq3E>sYZnv-}ZnK}$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%. For example, clinical nurse specialists are reimbursed at 85% for most services, while clinical social workers receive 75%. 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. While each state is different, many have expanded coverage for telebehavioral and telemental health during the COVID-19 public health emergency. Behavior Analysis Fee Schedule. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Progress Notes webinar What Should Be In Your Charts. Fee Schedule. Readers are urged to seek professional help if they are struggling with a mental health condition or another health concern. Outside of work, James can be found in Seattle drinking tea and playing frisbee. Im Starting a Counseling Practice Do I Need an LLC? Finally, due to the dramatic increase in demand for mental health services and the added stresses involved in treatment due to these unusual times, I request an increase in pay as an essential and integral worker serving ______(Aetna, Cigna, etc) clients. 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. Paper Street Press. You'll always be able to get in touch. Cigna Behavioral Health will respond by email within six weeks after reviewing the application. Alma is taking a provider-first approach to addressing the quality and affordability of mental health care at scale. Get updates on telehealth Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). hb```B Coverage for services may vary for individual members, based on the terms of the benefit contract. Psychological and neurobehavioral testing or status exam, 96116, 96121, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, Crisis intervention and interactive complexity, Health behavior intervention, family with patient, 97153, 97154, 97155, 97156, 97157, 97158, 0373T, Screening, brief intervention, and referral to treatment, G0396, G0397, G0442, G0443, G0444, G0445, G0446. For the aforementioned reasons, I am requesting reimbursement increases for the following CPT codes. We are your billing staff here to help. Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. You will get a tracking number associated with the letter you send that can prove the letter was received. 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). . TheraThink provides an affordable and incredibly easy solution. 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 And we hope this short guide and template can help make a meaningful impact on you and your familys financial wellbeing in 2022 and for years to come. 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. 87636 - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19 . If it's signed . 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. CPT Code Requests: 90834: +12%, New Rate: $102 90837: +10%, New Rate: $91 90791: +8%, New Rate: $122 90847: +10%, New Rate: $112 90846: +10%, New Rate: $105 I have enjoyed serving (Aetna, Cigna, etc) clients and hope to do so in the future. @F-D@&hsW.vz $DL;\][2S J1YhJitw-K0D3[gz&/#xLK)qCXPr0{h] p`> MP kNCc!_c.{MA>(+:&Ue~DkqbuDmg&$ 6U`(LJY8 _89n?WI_!}PESah&;rZ0cs0=H&8A=H?++QTq?b%i@Ctk|&>!0`as@. My daily insurance billing time now is less than five minutes for a full day of appointments. We are your billing staff here to help. Out of this fear, many therapists are choosing to downcode sessions, using the 90834 45-minute psychotherapy code instead, which typically represents lower reimbursement. However, when we are talking about the OTHER insurance plans that are sending these letters, they are NOT forbidding the use of the 90837 code. As private practitioners, our clinical work alone is full-time. Be sure to also include the authorization in box 23. Denny and his team are responsive, incredibly easy to work with, and know their stuff. 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. Enrollment in Cigna . Try out our rate negotiation template tool here: https://therathink.com/rate-negotiation-tool/. If you have any questions or would like more information about participating in a Cigna health care network, please contact us. 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. Clinicians can bill for 90832 as long as they spend 16 minutes with the patient. 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. Finally, we frequently update old content to reflect the most up-to-date information. 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. A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. TheraThink.com 2023. Deliver estimates of patient copayments, coinsurance and deductibles. Tufts Health Plan Commercial products; Fax: 617.972.9409 CareLinkSM - Refer to CareLink Procedures, Services and Items Requiring Prior Authorization TUFTS HEALTH PUBLIC PLANS Products Tufts Health Direct - A Massachusetts Qualified Health Plan (QHP) (a commercial product); Fax:888.977.0776 Tufts Health Together - MassHealth MCO Plan and Accountable Care Partnership Plans . Centers for Medicare Services CPT Code 90837 definition: individual outpatient psychotherapy services rendered for 60 minutes. Services represent insight oriented, behavior modifying, supportive, and/or interactive psychotherapy. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Gather up this information for each of the insurance contracts youre working with! 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. Note: If you have not requested an increase in your rates in the last two years, consider a high ask of 10%-15%. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. 280 State Drive, NOB 1 South Waterbury, Vermont 05671-1010 Phone: 802-879-5900 Fax: 802-241-0260. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. hbbd```b``"kD:,&H62,f`lV] X@lH(6(+^ ^S Our data is encrypted and backed up to HIPAA compliant standards. 8qXKfwjh89pf/nrD?5D Y0[k2$N50XjBnw)WzWLQ6~'82y.L/yS//:s4UWVIKrus7k"yV@_RbkZA2IpF\4oINKM-^]79jh|6-RoEQ}SgJk{J'|W[oEgw\{7"[8}%ZNM3+~n M[O_Jv}z9\/|5((Bc?cXfC/MVrzk(^ZsPHZN/M9-Mk3_|UKA\j))7X{}V}Zz/QKQTM)}}ZZsCX{.Imi45:KkqAKE_ch/gSoJ *93--ko{iR/~C-L49{i-]Sqkq~?4YrVz4Tbaq:9~3.hVYKe jsu!BRjn6 uPCdT*l;ljd~t,fRKi~Q{iyK+^j/mg:^ZKsvQz]vls!mY%Ud(.s]MC-Wq6K^oY{zTr4}=ncf7ulBQ}Lvko>jwWG:iWT1^ZN4KIaz%hiIz>fL_W_p7nn\~z}o_gyoy?~;Bw|^}}WwVaO~.on>?wo?79}?kq7:7o_o{Uwx7x}__^?1_}p~v.,::_5vpPT'iE-;Wf5 Share sensitive information only on official, secure websites. Copyright 2008- If you have any additional questions or concerns, you may also call our Provider Services Center, at 800.926. . All Rights Reserved. Let us handle handle your insurance billing so you can focus on your practice. Website Design & Marketing by AbundantPractices. In other words 99355 can be used multiple times for one appointment. Browse top-rated therapists near you, and find one who meets your needs. Heres a very short list that can get you started: https://therathink.com/provider-address-change-forms/. 90832, 90834 and 90837. Unclassified cookies are cookies that we are in the process of classifying, together with the providers of individual cookies. It is unique in that their reimbursement rates do not vary based on behavioral health service provided. Free Account Setup - we input your data at signup. If you are also not sure if your Cigna client has EAP benefits, we recommend calling the insurance ahead of time to ensure that you should be billing EAP or for a routine mental health service. Preventive care services Our clinical and medical experts author our content, in partnership with our editorial team. After entering basic patient and claims information, the cost estimator uses your fee schedule and your patients' benefits plans to: Show you our estimated payment to you. Free Account Setup - we input your data at signup. If you have any questions or would like more information about participating in a Cigna health care network, please contact us. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. CCSD schedule. If youre struggling to get your Cigna EAP claims paid, consider reaching out to TheraThinks mental health billing service. <>/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>> This website is not intended for residents of New Mexico. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. 90837 or 90834. document.write(year); He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. In addition, we only use authoritative, trusted, and current sources. x`i:;@MH HQH4qSQ Aj tPH;+.f`.+ APPs will have six months from January 1, 2021 to contact our Provider Information Management team to complete the requirements to become enumerated and begin Updated Fee Schedule July 2022. Thank you for spending your time and energy in consideration to this pay increase request. 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. Abortion Billing. Individual providers then were compared to their specialtys baseline. Please call the Suicide & Crisis Lifeline at 988 or use these resources to get immediate help. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Due to the nature of the world in 2020 and 2021 leading into 2022, mental health providers like myself require an increase in wages. Promulgated Fee Schedule 2022. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. You free me to focus on the work I love!. Medicare has published their 60 minute individual therapy reimbursement rates. James Schergen is a co-founder of TheraThink. 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. This is an area where a professional billing service, such as TheraThink can help. I know this code should not be used for ongoing couples or family treatment. After waiting three to four weeks for receipt and processing, call provider relations to ensure your request has been received. <> (OPTIONAL, examples) Beyond these financial concerns, I have continued to seek education regarding treatment and care for my clients (patients). My daily insurance billing time now is less than five minutes for a full day of appointments. Details. The federal government, state Medicaid programs, and private insurers have expanded coverage for telebehavioral and telemental health during the COVID-19 public health emergency. All Rights Reserved. See the complete list of telehealth servicescovered by Medicare from the Centers for Medicare & Medicaid Services through to December 31, 2024. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. )]*pl\?s_hgv}~J1#w[_@?D,OE{_+As\u%:Oj !Fq>f$zI:KIS_%X. The social work and counseling CPT codes below are additional codes that may be used by social workers in various areas of service. Medicare Part B covers medically necessary outpatient mental health benefits for psychiatric services . Cigna considers the following to constitute fraudulent billing: 99354 used to only be allowed by Medical Doctors, but has since expanded and is applicable to 90837 and 90487. Thriveworks was established in 2008, with the ultimate goal of helping people live happy and successful lives. Find out what you need to know about Cigna reimbursement policies and procedures. I cannot capture in words the value to me of TheraThink. Many providers that exclusively scheduled 60 minute sessions were forced to downcode their 90837 into 90934 or call to get authorization. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Our data is encrypted and backed up to HIPAA compliant standards. 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). We understand that it's important to actually be able to speak to someone about your billing. aK!vn -M%0UiJhhqFl'w:7TgC 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 . 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 You can call, text, or email us about any claim, anytime, and hear back that day. Due to the extended length, 90837 does indeed pay more than 90834. Not every therapist does sessions at these exact time intervals. endobj 90837 Psychotherapy (60 min) 90846 Family Psychotherapy (without patient present) 90847 Family Psychotherapy (with patient present) CPT Code 90837 is a procedure code that describes a 60 minute individual psychotherapy session performed by a licensed mental health provider. James regularly works with therapists and mental health practitioners in helping them to better handle the challenges of Managed Care. Telebehavioral health requirements with safety-net providers(PDF) from the Centers for Medicare & Medicaid Services. Make it easy and rewarding to go in-network. If you have any questions please contact us at the phone number listed on the back of your identification card. We are your billing staff here to help. %PDF-1.5 % any right to reimbursement. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Appeals and Disputes HIPAA Transaction Standards Questions? endobj Flu Shots Get payment, coverage, billing, & coding information for the 2022-2023 season. The website cannot function properly without these cookies. QMPt~T{qp``bUVa!FyNHWVC7Mq+h&Ukn01[F,0/-lAD3(*qJ Ny.! How Much Does Cigna Pay Counselors and Psychologists? 90837 is defined as a session of 60 minutes, ranging from 53 minutes to longer. 90836, 90837, 90838 Individual psychotherapy 90839, 90840 Psychotherapy for crisis; first 60 minutes; or each additional 30 minutes . ICD-10 codes (medical necessity): It is the responsibility of the provider to code to the highest level specified in the ICD-10 CM. Note: We only work with licensed mental health providers. Free Account Setup - we input your data at signup. This isnt the most descriptive CPT code and beyond the routine procedure codes (90834/90837) 99404 is one of the most frequently billed CPT codes. Every provider we work with is assigned an admin as a point of contact. Another add-on code 99355 can be billed for sessions that are even longer. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. It's our goal to ensure you simply don't have to spend unncessary time on your billing. You'll always be able to get in touch. Department of Vermont Health Access. For him, I write, 90837 is medically necessary because client has no friends with which to sort through complicated life issues. Reimbursement Rate Updates for Procedure Code Q5123 Effective July 1, 2021. 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. This reimbursement policy applies to all professionals who deliver health care services. We successfully bill 99404 everyday of the week. Hours of Operation: Monday-Friday (Excluding Holidays) 7:45am - 4:30pm This is how companies like Anthem, Aetna, and United Healthcare ask their claims to be billed. Medical and Dental 1 (800) 88CIGNA (882-4462) Behavioral 1 (800) 926-2273 Pharmacy Email us As a global health service company, Cigna aligned with HealthSpring in 2012 to assist the growing market of Americans, aged 65 and older, transition from career into retirement. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Marketing cookies are used to track visitors across websites. Information on Medicaid reimbursement for telehealth by state is available at the Center for Connected Health Policy with live policy trend maps. Providers whose claims showed a higher-than-typical use of the 90837 code received the letter. %%EOF How much does Blue Cross Blue Shield Pay Counselors and Psychologists? Below are claims tips for common scenarios that you may encounter depending on the type of service you provide. 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. The law states that we can store cookies on your device if they are strictly necessary for the operation of this site. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. The Illinois Counseling Association Insurance Task Force partnered with the National Association of Social Workers, Illinois Chapter (NASW-IL) to address Cigna's Health Insurance fee schedule for . 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. 8,753 Medical Reimbursement Claims $60,000 jobs available on Indeed.com. Up until very recently one of the largest insurers, United Healthcare required authorization for 90837. When a 90837 is used for a family visit, the client must be present for all or most of the session. delivered to your inbox. Intake reimbursement increased also from $100.81 for 90801 in 2012 to $106.94 for 90791 in 2013, an increase of about 6%. While some plans set the allowed amount at an artificially low rate ($83 for a 45 minute meeting), other plans use the usual and customary rate ($275 for a 45 minute meeting, and $310 for a 60 minute meeting). Ambulance Joint Response/Treat-and-Release Reimbursement. Inflation is here. 99404 is defined as Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual. This isn't the most descriptive CPT code and beyond the routine procedure codes (90834/90837) 99404 is one of the most frequently billed CPT codes. The above list of codes eligible for reimbursement via various telemedicine modalities may vary based on state law or regulation to the contrary. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! The intention is to display ads that are relevant and engaging for the individual user and thereby more valuable for publishers and third party advertisers. During the last three . 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. <> 90832 Individual psychotherapy, insight oriented, behavior modifying and/or supportive, 30 minutes with the patient and/or family member (time range 16-37 minutes). You will need to find the provider relations mailing address for your respective insurance company and the best way to find that is to call provider relations directly. For all other types of cookies we need your permission. Psychiatry and Psychotherapy Services. 4 0 obj Coding prolonged services in a home or residence. You free me to focus on the work I love!. SPN}s '. BCBSNC Telehealth Corporate Reimbursement Policy CIGNA Humana Humana Telehealth Expansion 03/23/2020 Humana provider FAQs Medicaid Special Bulletin #28 03/30/2020 (Supersedes Special Bulletin #9) Medicare Telemedicine Provider Fact Sheet 03/17/2020 Medicare Waivers 03.30.2020 PalmettoGBA MLN Connects Special Edition - Tuesday, March 31, 2020 You can now check eligibility (PDF) for the flu shot. TheraThink.com 2023. We understand that it's important to actually be able to speak to someone about your billing. Reimbursement for out-of-network plans is a possibility. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All pictures are used for illustrative purposes only. % Cigna asks that you do not use the HJ modifier and instead bill EAP with a different procedure code, 99404. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. So are you out of luck and stuck with just billing 90837? Medicare telehealth services practitioners use "02" if the telehealth service is delivered anywhere except for the patient's home. TheraThink provides an affordable and incredibly easy solution. "Cigna" is a registered service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating . Because all sessions billed as 99404 are EAP, they should not have any patient responsibility. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. Article Index CPT Code 90837 Description 90785: Interactive Complexity add-on code (Used in conjunction with CPT codes 90791, 90832, 90834, 90837, or 90853) 90887: Consultation with Family. Read More. Code 90837: Psychotherapy, 60 minutes with patient and/or family member. To learn more, contact your insurance company and ask about your reimbursement rates for in-network and out-of-network providers. If this template helped you out, please share it with colleagues or on social media so it can help more providers. Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. 90837 is 60 minutes and 90834 is 45 minutes.
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