The 90832 CPT code is a widely used billing code, specifically used for shorter individual therapy sessions. Therapists, billers, and other mental health practitioners should know when and how to use this code in order to appropriately document and bill for their services.
As a component of the Current Procedural Terminology (CPT) system, this code facilitates the reimbursement procedure and guarantees that therapists receive payment for thirty-minute therapy sessions.
90832 CPT Code Explained
90832 CPT code is used for billing 30-minute individual psychotherapy sessions provided by a licensed mental health clinician. The code applies to sessions lasting between 16 and 37 minutes, which may also include an additional family member or caregiver.
CPT codes are important for medical documentation and billing. Developed and managed by the American Medical Association, they are required by the U.S. Department of Health and Human Services for billing purposes.
The psychiatry and mental health section of the CPT code set includes codes ranging from 90785 to 90899, with individual psychotherapy codes covering 90832 to 90838.
Specifically, the 90832 CPT code is designated for shorter, routine outpatient therapy sessions. Insurance companies require therapists, coders, or billers to use this code for 30-minute appointments.
90832 CPT code can be used by any licensed provider of individual therapy, including:
- Licensed Clinical Psychologists (PsyD or PhD)
- Licensed Clinical Social Workers (LCSW)
- Licensed Professional Counselors (LPC)
- Licensed Mental Health Counselors (LMHC)
- Licensed Marriage and Family Therapists (LMFT)
- Psychiatrists (MDs)
- Nurse Practitioners (NPs)
Pre-licensed therapists can generally use 90832, but they may need to include a modifier or add-on code. It’s important to review specific state and insurance guidelines when using this code, especially for pre-licensed therapists working under supervision.
90832 CPT Code Time Length
90832 CPT code is designated for a 30-minute therapy session. Any sessions that last less than 16 minutes should not be billed under this code.
90832 CPT code Reimbursement Rates
In 2024, Medicare’s reimbursement rate for 90832 CPT codes is $76.95.
While 90832 typically reimburses less than codes 90834 and 90837, the rates are comparable on a per-minute basis. On average, 90832 reimburses around 75% of 90834 and about 50% of 90837.
Many providers prefer to conduct fewer, longer sessions to maximize reimbursement, though some opt for a higher number of shorter sessions depending on their practice model.
Common Questions When Dealing with 90832 CPT Code
Does the 90832 CPT Code Require Authorization?
Typically, no. 90832 CPT code is a standard procedure code for individual psychotherapy sessions, similar to 90834 and 90837.
Since it’s considered routine, prior authorization is generally not required. However, it’s always a good practice to verify specific insurance policies, as requirements may vary.
What is the difference between 90832 and 90837?
Both of these codes are used for individual therapy without medication management or evaluation.
90832 is used for shorter individual therapy sessions (16 to 37 minutes), while 90837 is used for typical hour-long sessions (53 minutes or longer).
How much is the 90832 reimbursement?
CPT codes are reimbursed at different rates according to license type, state, and insurance plan. As of 2024, Medicare reimburses 90832 at around $75 for outpatient and around $60 for in-facility service.
Can 90832 be billed with 99214?
The CPT code for a visit to the doctor for evaluation and management (E/M) with a current patient is 99214.
If the client saw a psychiatrist for medicine and then a master ‘s-level therapist for treatment, for example, neither this E/M code nor any other should be used in connection with 90832, unless the office visit and therapy session were performed by distinct providers.
Can 90832 and 90847 be billed together?
90832 and 90847 can be invoiced on the same day for family/couples treatment with the client present. However, make sure you use a modifier to distinguish that these were two separate and distinct sessions.
Can you bill 90832 without a patient present?
No, 90832 is only used for individual therapy with the patient present.
