Dr. Debbie's Blog: Insights from a PMHNP/LCSW

All posts

blog image

Documenting Add On Psychotherapy Time

December 12, 20231 min read

Does Add on Therapy Need Start and Stop Times?

USING 90833 ADD ON THERAPY

Proper documentation of time for psychotherapy services is not only a coding requirement but also a fundamental aspect of transparent and accountable healthcare delivery.

So....Do the minutes of psychotherapy need to be provided consistently and documented as such -- meaning documented as a start and stop time? NO. According to CMS, "in cases where psychotherapy is combined with an E/M service (CPT codes 90833, 90836, and 90838), it is recognized that the psychotherapy time may not always be continuous. When the documentation of time is relevant for coding and payment purposes, time may be documented with start and stop times or with total time."

Recognizing the diversity of clinical practices, the documentation of time can take different forms. If you tend to differentiate the E/M section of your visit from the add on psychotherapy time, then you may document the add on psychotherapy as start and stop times or as total minutes. If your sessions tend to integrate the two, lumping a few minutes of therapeutic intervention at different times throughout the session, you can document total minutes and not worry that your documentation is lacking. This flexibility acknowledges the varied nature of mental health treatment scenarios and ensures that accurate information is conveyed for coding and payment purposes.

Source: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57520&ver=29#:~:text=This%20service%20is%20used%20in,psychotherapy%20(CPT%20code%2090853).

90833add on psychotherapydocumentationevaluation and management

Dr. Debbie Granick

Back to Blog

Podcasts, webinars, and more!

Listen to Dr. Granick on top podcasts, radio shows,

webinars, and many more covering a wide variety of mental health topics.

Therapist Dr. Debbie Granick: Mental Health and Restoring Well-Being

Wellness at Work: Building Resilience by

Supporting Mental Health

Eye on the Triangle | EOT 327 - Deborah Granick

Want your colleagues and your practice to benefit from individualized coaching in providing integrated care? 

Contact us to book Dr. Granick to train your practice based on your individual needs!

Debbie Granick presents on wellness topics to groups of all sizes

Dr. Debbie Granick, Doctorally-Prepared Nurse Practitioner and Licensed Clinical Social Worker

​Available for speaking, training, consultation to groups of all sizes.

2024 All RightsReserved