CPT 90832 + ICD-10 F42.2: Mixed obsessional thoughts and acts (OCD)
Psychotherapy, 30 minutes billed with Mixed obsessional thoughts and acts (OCD) — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90832
Psychotherapy, 30 minutes
ICD-10 Code
F42.2
Mixed obsessional thoughts and acts (OCD)
Common Modifiers
Compatibility Notes
Brief OCD sessions are limited in clinical utility for active ERP work but may be appropriate for brief exposure debriefs or maintenance check-ins. Payers may question the brief format for active OCD treatment — document rationale.
Documentation Required
- ✓Session start and stop times confirming 16–37 minutes
- ✓OCD diagnosis with current symptom status
- ✓Brief session rationale (e.g., maintenance, debrief)
- ✓Y-BOCS or equivalent tracked
Common Denial Reasons
- ✗Active OCD treatment without rationale for brief format
- ✗No outcome measure tracked
- ✗Session time outside 16–37 minute range
Applicable Modifiers
Reimbursement Notes
OON UCR $75–$125. Active OCD treatment typically warrants 90834 or 90837 for proper ERP delivery.
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