[[Marriage & Family Therapy]] [[Redeem Wellness Center]] **Individual therapy** - **90834** – <mark style="background: #FFF3A3A6;">45 minutes psychotherapy</mark> - THIS is the main one - **90837** – 60 minutes psychotherapy - Use only when you truly go long. Audited more often. - **90832** – 30 minutes psychotherapy - Short sessions, check-ins, or constrained schedules. **Family and couples** - **90847** – <mark style="background: #FFF3A3A6;">Family or couples therapy with patient present </mark> - THIS is the standard couples therapy code. - **90846** – Family therapy **without patient present** - Parent sessions, collateral family work. **Group** - **90853** – Group psychotherapy ## Intake and evaluation - **90791** – <mark style="background: #FFF3A3A6;">Psych diagnostic evaluation </mark> No meds. Use for intakes. Bill once per episode of care. ## Telehealth modifiers and place of service This is where people mess up. - **Modifier 95** or **GT** depending on payer Many insurers now accept 95. - **Place of Service** - **10** = Telehealth provided in patient’s home - **02** = Telehealth not in patient’s home Always check the payer. They are inconsistent. ## Diagnosis codes (ICD-10) You still need one, even if it feels forced. Common examples: - **F41.1** – Generalized anxiety disorder - **F33.1** – Major depressive disorder, recurrent, moderate - **F43.23** – Adjustment disorder with anxiety and depressed mood - **Z63.0** – Relationship distress with spouse or partner Often used with 90847, but some insurers hate Z-codes. [[ChatGPT]] Opinionated take: If you’re doing outpatient therapy, **90834 + 90791 + 90847** will cover about 80–90 percent of your billing life. Everything else is edge cases and payer politics.