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CPT 90834 + ICD-10 F32.1: Major depressive disorder, single episode, moderate

Psychotherapy, 45 minutes billed with Major depressive disorder, single episode, moderate — documentation requirements, denial reasons, modifiers, and reimbursement context.

CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F32.1
Major depressive disorder, single episode, moderate
Common Modifiers

Compatibility Notes

A specific and well-documented pairing for moderate first-episode MDD. The 45-minute session length is appropriate for established therapy relationships where therapeutic goals have been identified. Most payers process this combination without additional scrutiny.

Documentation Required

  • Session start and stop times confirming 38–52 minutes
  • PHQ-9 score in moderate range (10–14)
  • First MDD episode confirmed (no prior episodes)
  • Functional impairment in at least one domain
  • Risk assessment

Common Denial Reasons

  • PHQ-9 scores inconsistent with moderate specifier
  • Prior depressive episodes documented — use F33.1 for recurrent moderate MDD
  • Session time outside the 38–52 minute window

Applicable Modifiers

Reimbursement Notes

OON UCR $100–$165. This is a clean, specific billing combination that processes well with most commercial payers.

Related Billing Guides

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