CPT 90834 + ICD-10 F33.1: Major depressive disorder, recurrent, moderate
Psychotherapy, 45 minutes billed with Major depressive disorder, recurrent, moderate — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F33.1
Major depressive disorder, recurrent, moderate
Compatibility Notes
High-volume combination for ongoing moderate recurrent MDD therapy. The 45-minute session is appropriate for established therapy relationships. Most payers cover this without prior authorization for the standard benefit period (20–26 sessions).
Documentation Required
- ✓Session start and stop times confirming 38–52 minutes
- ✓PHQ-9 score in moderate range (10–14)
- ✓Recurrent course documented
- ✓Therapeutic modality and session content
- ✓Risk assessment for suicidal ideation
Common Denial Reasons
- ✗PHQ-9 inconsistent with moderate specifier
- ✗Recurrent course not established in clinical notes
- ✗Session time outside 38–52 minute range
Applicable Modifiers
Reimbursement Notes
OON UCR $100–$165. One of the most common and cleanly processed 90834 combinations.
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