90865 CPT Code: Narcosynthesis

What is 90865 CPT Code?

CPT code 90865 refers to narcosynthesis, a specialized therapeutic technique that employs a combination of hypnosis and medication to induce a trance‑like state. This approach allows patients to access their subconscious mind, facilitating the exploration and processing of deep‑seated psychological issues. Narcosynthesis aims to enhance therapeutic outcomes by providing a safe environment for patients to confront and address their anxieties, traumas, or other psychological barriers.

This procedure is typically performed by licensed mental health professionals trained in both psychotherapy and pharmacology. Narcosynthesis can be particularly effective for patients who have not responded well to traditional therapeutic methods, offering an alternative route for healing and emotional relief. The process is carefully monitored to ensure the safety and efficacy of the treatment.

Services Covered Under CPT Code 90865

The services covered under this code include a range of therapeutic interventions aimed at facilitating emotional and psychological healing. Below is a table detailing these services:

Who Can Use the 90865 CPT Code?

This code is intended for use by qualified professionals who have the necessary training in the administration of narcosynthesis. The following practitioners can bill for services using this code:

• Psychiatrists: Medical doctors specializing in mental health who can prescribe medication and provide psychotherapy.
• Clinical Psychologists: Licensed professionals trained in psychological assessment and intervention, capable of performing narcosynthesis.
• Licensed Clinical Social Workers: Professionals who can provide therapy and support in a clinical setting, often integrating narcosynthesis into their practice.

How to Use CPT Code 90865

Proper use of this code requires adherence to specific protocols and thorough documentation. Here are key points to consider:

• Document Patient History: Record the patient's psychological background and reasons for seeking narcosynthesis. For example, a patient with a history of trauma may benefit from this approach.
• Detail Session Objectives: Clearly outline the goals for each session. For instance, aiming to address anxiety symptoms through guided relaxation.
• Record Session Length: Ensure the session lasts at least 30 minutes to qualify for billing. For example, document a 45-minute session focusing on the patient’s emotional responses.

Reimbursement Rates for CPT Code 90865

Disclaimer: Reimbursement rates are subject to change based on various factors, including location and payer policies. This article is regularly updated with average pricing.

Benefits of CPT Code 90865

The benefits of using this code are numerous, providing both practitioners and patients with valuable therapeutic options. Below is a table summarizing these benefits:

Common Mistakes to Avoid with CPT Code 90865

Misuse of this code can lead to significant risks, including audits and claim denials. Being aware of common mistakes is crucial for compliance and successful billing. Here are some common errors:

• Inadequate Documentation: Failing to document the patient's history and session details can result in denied claims. For example, not noting the specific techniques used during the session may lead to questions about the service's appropriateness.
• Incorrect Session Length: Billing for sessions shorter than the required duration can lead to reimbursement issues. An example would be billing for a 20-minute session instead of the minimum of 30 minutes.
• Improper Use of Code: Using this code for services not related to narcosynthesis can trigger audits. For example, billing it for a standard therapy session without hypnosis or medication involved is inappropriate.

CPT Code 90865 vs other codes

This code can be compared to other similar CPT codes for clarity in billing practices and clinical application. Below is a comparison table:

Conclusion

Understanding CPT code 90865 is essential for mental health professionals who incorporate narcosynthesis into their practices. This code covers therapeutic sessions that help patients access subconscious issues through a combination of hypnosis and medication. Proper documentation and adherence to billing guidelines are crucial to avoid common pitfalls, such as inadequate session length or improper use of the code.

Disclaimer: This article is for informational purposes only and does not constitute legal or medical advice. Always consult professional guidelines and regulatory bodies for specific compliance requirements.