90875 CPT Code: Psychophysiological Therapy with Biofeedback

What is CPT Code 90875

CPT Code 90875 refers specifically to psychophysiological therapy with biofeedback, designed for sessions lasting 30 minutes. The therapy employs biofeedback techniques that help patients gain awareness and control over physiological functions, such as heart rate or muscle tension. This approach is particularly effective in treating conditions related to stress, anxiety, and chronic pain, as it empowers patients to recognize their bodily responses and implement relaxation methods.

The therapeutic process involves monitoring physiological indicators using sensors which provide information back to the patient. This feedback loop enables individuals to understand the connection between their mental state and physical responses. Over time, patients can learn techniques to modify their physiological reactions, promoting better management of symptoms. The application of biofeedback is flexible, fitting various treatment modalities tailored to the individual needs of patients.

Services Covered Under CPT Code 90875

Here is a detailed overview of the services encompassed by this CPT code:

Who Can Use the 90875 CPT Code?

Various licensed professionals can rightfully employ this code in their billing. Here are some of the key providers:

• Clinical Psychologists: They are trained to offer psychotherapy and biofeedback as a part of their therapeutic toolkit.
• Licensed Clinical Social Workers: These professionals engage in therapy and mental health services, including biofeedback methods.
• Psychiatrists: They may incorporate biofeedback in conjunction with medical and therapeutic interventions to treat mental health disorders.
• Licensed Professional Counselors: They can provide psychophysiological therapy, especially when they hold training in biofeedback techniques.

How to Use CPT Code 90875

When applying CPT Code 90875 for billing, meticulous attention to detail in session documentation is necessary. Here are best practices:

• Document Session Time: Clearly record the duration of the therapy session as 30 minutes. For example, a therapist should note the start and end time of the appointment.
  
• Detail Biofeedback Techniques Used: Provide a summary of the specific biofeedback strategies employed during the session. For example, if heart rate variability monitoring was used, describe how it was implemented and the patient's response.
  
• Patient Progress Notes: Include observations of the patient's progress and any adjustments made to the treatment plan. For instance, if a patient showed improved emotional regulation, note the corresponding techniques applied to achieve this.

Reimbursement Rates for CPT Code 90875

The following table presents average reimbursement rates for CPT Code 90875 by insurance type:

The reimbursement rates are subject to change based on various factors, including state regulations and specific insurance policies. This article is kept updated with average prices to provide accurate guidance.

Benefits of CPT Code 90875

This CPT code offers several key benefits that enhance patient care. Here is a comprehensive table outlining these advantages:

Common Mistakes to Avoid with CPT Code 90875

Improper use of this code can lead to audit risks and potential claim denials for therapy sessions. The following are common mistakes that healthcare providers should avoid:

• Inaccurate Session Time Logging: Failing to document the exact session duration can result in improper coding.
  Example: A therapist logs a session as 25 minutes instead of the required 30 minutes.
• Insufficient Documentation: Lack of detailed progress notes can lead to claims being denied.
  Example: A therapist submits a claim without accompanying notes on biofeedback use.
• Not Following Up on Patient Data: Failure to review patient data may affect therapy effectiveness.
  Example: Neglecting to analyze previously recorded biofeedback data before a new session can impair continuity of care.
  

CPT Code 90875 vs other codes

A comparison of CPT Code 90875 with similar codes provides insight into its specific use and application:

Conclusion

In summary, CPT Code 90875 serves as a vital tool for coding and billing psychophysiological therapy sessions that incorporate biofeedback techniques. By adhering to proper usage guidelines and focusing on detailed documentation, healthcare providers can maximize the benefits of this code for their patients while ensuring compliance with billing standards.

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.