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CPT code

90834: Psychotherapy, 45 minutes

90834 is the standard individual session for most child and teen therapy: 38 to 52 minutes of face-to-face psychotherapy. It is the code most Emora therapists bill most weeks.

Kind
CPT code
Family
individual
Time
38 to 52 minutes
Who bills
Therapists, Psychologists, Associates
Telehealth
Eligible
Add-on
Stands alone

When to use it

Use it when the therapeutic time runs 38 to 52 minutes. A 45-minute session with a five-minute parent hand-off at the end is a 90834 with the child as identified patient.

When not to

Do not bill 90834 for a session under 38 minutes (that is 90832) or at 53 minutes and above (that is 90837). Do not include documentation time or the wait for a family to join.

With children and families

With children the 45-minute block often splits into child time and a short parent segment. Both count when the parent is present for the child's therapeutic work. If most of the session is with the parent and the child is not present, use 90846. Note who joined and from where; a teen on a phone in a car and a parent at home is a common telehealth setup worth recording.

Questions about 90834

Is 90834 the default code for a 45-minute session?
Yes, when the face-to-face therapeutic time is 38 to 52 minutes.
Can I bill 90834 with the interactive complexity add-on?
Yes. 90785 rides on 90834 when the session meets the criteria, common with young children.
What if the family shows up 15 minutes late?
Bill the minutes you actually spent; a 30-minute session becomes 90832.

Related

CodeWhat it isTimeWho billsTelehealth
90785Interactive complexity add-onTherapists, Psychologists, AssociatesYes
90847Family psychotherapy with the patient present50 minTherapists, Psychologists, AssociatesYes
90832Psychotherapy, 30 minutes16 to 37 minTherapists, Psychologists, AssociatesYes
90837Psychotherapy, 60 minutes60 minTherapists, Psychologists, AssociatesYes

General information for licensed clinicians, not billing advice. Insurers reimburse each code differently and payer contracts control; Emora handles the billing.

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