CPT 90834 + ICD-10 F40.10: Social anxiety disorder (social phobia), unspecified
Psychotherapy, 45 minutes billed with Social anxiety disorder (social phobia), unspecified — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F40.10
Social anxiety disorder (social phobia), unspecified
Compatibility Notes
Appropriate for 45-minute CBT or exposure-based sessions targeting social anxiety. The 45-minute format works well for structured exposure planning sessions. Most payers cover this without prior authorization.
Documentation Required
- ✓Session start and stop times confirming 38–52 minutes
- ✓Social anxiety disorder diagnosis with feared situations documented
- ✓LSAS or equivalent outcome measure
- ✓CBT or exposure approach in treatment plan
- ✓Avoidance behavior and functional impact noted
Common Denial Reasons
- ✗Notes describe social discomfort without meeting DSM-5 criteria
- ✗No documented evidence-based approach for social anxiety
- ✗Session time outside 38–52 minute range
Applicable Modifiers
Reimbursement Notes
OON UCR $100–$165. Social anxiety disorder is well-covered under mental health parity across all commercial plans.
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