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Code deleted, use 90836 and 99201-99255, 99304-99337, 99341-99350 and 90875 (if applicable)

Official Description

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

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

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.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

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:

  • Behavioral Disturbances Patients exhibiting disruptive behaviors that may interfere with their daily functioning or relationships.
  • Mental Illness Individuals diagnosed with mental health disorders such as depression, anxiety, or other psychological conditions requiring therapeutic intervention.
  • Supportive Therapy Patients in need of supportive counseling to help them cope with life stressors or emotional challenges.

2. Procedure

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.

  • Initial Assessment The session begins with an initial assessment where the provider evaluates the patient's current mental health status. This includes discussing the patient's symptoms, history, and any relevant medical information that may impact their treatment.
  • Therapeutic Counseling Following the assessment, the provider engages the patient in therapeutic counseling. This face-to-face interaction focuses on helping the patient understand their behaviors and thought processes. The provider employs insight-oriented and behavior-modifying techniques to facilitate this understanding and encourage positive changes.
  • Medical Evaluation and Management Concurrently, the provider conducts medical evaluation and management services. This may involve reviewing the patient's medications, assessing any physical health issues that could affect their mental health, and making necessary adjustments to their treatment plan.
  • Documentation Throughout the session, the provider documents the patient's progress, the interventions used, and any changes in the treatment plan. This documentation is essential for ensuring continuity of care and for billing purposes.

3. Post-Procedure

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
Date
Action
Notes
2013-01-01 Deleted Code deleted, use 90836 and 99201-99255, 99304-99337, 99341-99350 and 90875 (if applicable)
2011-01-01 Changed Short description changed.
1998-01-01 Added Code added
Code
Description
Code
Description
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