How should we calculate the time for time-based psychotherapy services for the purposes of submitting claims?

Psychotherapy times are for face-to-face services with the patient and/or family member. In order to submit a code for time-based psychotherapy, the time that the therapist spends face-to-face with the beneficiary and/or family member doing psychotherapy must be at least the minimum number of minutes specified by the CPT code. If the face-to-face time spent was less than the minimum, submit the lower code.

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Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

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