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CPT 90834 + ICD-10 F43.23: Adjustment disorder with mixed anxiety and depressed mood

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

CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F43.23
Adjustment disorder with mixed anxiety and depressed mood
Common Modifiers

Compatibility Notes

Used for 45-minute therapy sessions addressing mixed anxious and depressive adjustment reactions. The most commonly used adjustment disorder specifier in outpatient mental health. Appropriate for short-term therapy with a specific stressor precipitant.

Documentation Required

  • Session start and stop times confirming 38–52 minutes
  • Stressor documented
  • Mixed anxiety and depressed mood symptoms documented
  • Full primary mood/anxiety disorder criteria not met
  • Time-limited treatment plan

Common Denial Reasons

  • Stressor not documented
  • Symptom severity meets full criteria for a primary disorder
  • Duration beyond 6 months post-stressor without update

Applicable Modifiers

Reimbursement Notes

OON UCR $100–$165. Broadly accepted short-term billing combination with most commercial payers.

Related Billing Guides

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