What are the best practices for using CPT codes 90837, 90834, and 90791 in telehealth services?

Using the correct CPT codes in telehealth services is vital for compliance and maximizing reimbursement. Here are some best practices to follow:

• Understand Each Code: Familiarize yourself with CPT code 90837 for 60-minute therapy sessions, 90834 for 45-minute sessions, and 90791 for initial psychiatric evaluations.
• Document Sessions Properly: Ensure that all telehealth sessions are thoroughly documented, highlighting the necessity of services and client outcomes.
• Utilize Telehealth Modifiers: When submitting claims, use the appropriate telehealth modifier, such as 95, to indicate that the service was provided remotely.
• Stay Updated: Changes to coding regulations are frequent, so regularly check updates from the National Institute of Mental Health (NIMH) clinical psychotherapy guidelines.

For further assistance, the licensed behavioral health specialists at Brightline can provide expertise in navigating coding and billing processes.