Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Outpatient mental health in an office setting

Barbara Posted Thu 19th of March, 2015 15:42:26 PM

I am billing 90846 with an additional 1/2 hour (1.5 units). What modifier or other CPT code would I use for the additional 1/2 hour? thank you, thank you, thank you!

SuperCoder Answered Fri 20th of March, 2015 07:28:38 AM

90846 (Family psychotherapy [without the patient present]) for such services, the code 90846 is not timed but is typically 45 to 60 minutes in duration, but no separate code is available if time exceeds.
Rather, you may choose from either the new (99201-99205) or the established patient (99211-99215) E/M codes, as appropriate. If counseling and/or coordination of care consumes more than 50 percent of the physician's time spent face-to-face with the patient and/or family, you may consider time as the controlling factor to qualify for a particular level of E/M services, according to CPT.

Related Topics