Use these for my externship at Redeem: - if you meet the client use 90837, if you meet the partner use 90846, if you meet both use 90847 **Individual therapy** - **90834** – 45 minutes psychotherapy - This is the most common 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** – Family or couples therapy with patient present - THIS is the standard couples therapy code. - **90846** – Family therapy **without patient present** - Parent sessions, or meeting with the partner of a client in the couple. **Group** - **90853** – Group psychotherapy ## Intake and evaluation - **90791** – Psych diagnostic evaluation - 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. --- Related Notes: - [[Redeem Wellness Center]] - [[My future private practice]] This note was originally created on **December 17, 2025**.