CPT 90834 + ICD-10 F90.1: Attention-deficit hyperactivity disorder, predominantly hyperactive type
Psychotherapy, 45 minutes billed with Attention-deficit hyperactivity disorder, predominantly hyperactive type — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F90.1
Attention-deficit hyperactivity disorder, predominantly hyperactive type
Compatibility Notes
Used for 45-minute behavioral and CBT-based therapy sessions for ADHD-HI. The 45-minute window is frequently used in child/adolescent therapy for this presentation. As with F90.0, 90834 covers psychotherapy only.
Documentation Required
- ✓Session start and stop times confirming 38–52 minutes
- ✓ADHD-HI diagnosis with hyperactive/impulsive symptoms documented
- ✓Behavioral or CBT approach specified
- ✓Functional impairment across settings
- ✓Age of onset confirmed before age 12
Common Denial Reasons
- ✗Notes reflect consultation rather than active psychotherapy
- ✗Pediatric claims may require parent/guardian involvement documentation
- ✗Session time outside 38–52 minute range
Applicable Modifiers
Reimbursement Notes
OON UCR $100–$165. Pediatric ADHD-HI psychotherapy is broadly covered. Check pediatric mental health benefit details for session limits.
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