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CPT 90832 + ICD-10 F33.0: Major depressive disorder, recurrent, mild

Psychotherapy, 30 minutes billed with Major depressive disorder, recurrent, mild — documentation requirements, denial reasons, modifiers, and reimbursement context.

CPT Code
90832
Psychotherapy, 30 minutes
ICD-10 Code
F33.0
Major depressive disorder, recurrent, mild
Common Modifiers

Compatibility Notes

Appropriate for maintenance-phase MDD patients in remission or with mild recurrent symptoms who benefit from brief, regular check-ins. This combination is accepted by most payers for step-down care. If the patient's condition worsens, upgrade to 90834 or 90837 and update the diagnosis specifier accordingly.

Documentation Required

  • Session start and stop times confirming 16–37 minutes
  • Documentation that the patient is in maintenance phase or experiencing mild recurrence
  • PHQ-9 score in mild range (5–9) or equivalent narrative
  • Rationale for 30-minute format (stable, maintenance-phase patient)
  • Updated treatment plan objectives reflecting maintenance goals

Common Denial Reasons

  • PHQ-9 or documented symptom severity inconsistent with "mild" specifier — if scores suggest moderate/severe, insurer may question the downgraded code
  • Session time outside the 16–37 minute range
  • Notes copied forward without session-specific content

Applicable Modifiers

Reimbursement Notes

OON UCR is $75–$125. For maintenance-phase patients this combination has a reasonable ROI when volume is high. Commercial plan reimbursement typically $40–$85 after deductible.

Related Billing Guides

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