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The CPT® Code 90807 refers to a specific type of individual psychotherapy that is conducted in an office or outpatient facility setting. This procedure is designed for patients who are experiencing behavioral disturbances or mental health issues. During the session, which lasts approximately 45 to 50 minutes, the patient engages in face-to-face counseling with a qualified provider. The primary focus of this psychotherapy is to facilitate communication that aids the patient in understanding their thoughts and behaviors, ultimately guiding them towards modifying inappropriate behaviors. In addition to the therapeutic counseling, this code also encompasses medical evaluation and management services, indicating that the provider will assess the patient's overall mental health status and any related medical concerns during the same visit. This comprehensive approach ensures that both the psychological and medical aspects of the patient's condition are addressed in a single encounter, promoting a holistic treatment strategy.
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The procedure associated with CPT® Code 90807 is indicated for patients who are experiencing various behavioral disturbances or mental health conditions. These may include, but are not limited to, the following:
The procedure for CPT® Code 90807 involves several key steps that ensure a comprehensive approach to the patient's mental health care. Each step is crucial for delivering effective psychotherapy and medical evaluation.
After the completion of the psychotherapy session, the patient may be provided with recommendations for follow-up care or additional therapy sessions as needed. The provider may also suggest coping strategies or resources to support the patient's ongoing mental health. It is important for the patient to adhere to any prescribed treatment plans and attend follow-up appointments to monitor their progress and make necessary adjustments to their care. The expected recovery and improvement in symptoms will vary based on the individual patient's condition and engagement in the therapeutic process.
| Short Descr | PSYTX OFF 45-50 MIN W/E&M | Medium Descr | INDIV PSYCTX OFFICE/OUTPT 45-50 MIN W/MED E/M | Long Descr | Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management services | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Discontinued Code | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5B - Specialist - psychiatry | MUE | Not applicable/unspecified. | CCS Clinical Classification | 218 - Psychological and psychiatric evaluation and therapy |
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