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CPT 90834 + ICD-10 F43.22: Adjustment disorder with anxiety

Psychotherapy, 45 minutes billed with Adjustment disorder with anxiety — documentation requirements, denial reasons, modifiers, and reimbursement context.

CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F43.22
Adjustment disorder with anxiety
Common Modifiers

Compatibility Notes

Appropriate for 45-minute sessions addressing adjustment-related anxiety without a primary anxiety disorder. Common in primary care behavioral health integration settings. Time-limited diagnosis with expected 6-month resolution after stressor ends.

Documentation Required

  • Session start and stop times confirming 38–52 minutes
  • Stressor and onset date documented
  • Anxiety symptoms causally linked to stressor
  • Primary anxiety disorder criteria not met
  • Time-limited plan

Common Denial Reasons

  • Stressor missing from notes
  • Duration beyond 6 months post-stressor without diagnosis revision
  • Anxiety appears to meet criteria for F41.1 or F40.10

Applicable Modifiers

Reimbursement Notes

OON UCR $100–$165. Short-term, well-accepted combination. Verify authorization session limits which may be lower for adjustment disorders.

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