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CPT 90837 + ICD-10 F40.10: Social anxiety disorder (social phobia), unspecified

Psychotherapy, 60 minutes billed with Social anxiety disorder (social phobia), unspecified — documentation requirements, denial reasons, modifiers, and reimbursement context.

CPT Code
90837
Psychotherapy, 60 minutes
ICD-10 Code
F40.10
Social anxiety disorder (social phobia), unspecified
Common Modifiers

Compatibility Notes

This is a well-recognized combination for cognitive-behavioral treatment of social anxiety disorder. F40.10 is appropriate when social phobia is confirmed but the type (generalized vs. performance only) has not been specified. Exposure-based CBT and acceptance-based approaches are the evidence-based modalities most associated with this pairing. Most insurers cover this without prior authorization.

Documentation Required

  • Session start and stop times confirming 53+ minutes
  • Social anxiety disorder diagnosis with feared social situations documented
  • Avoidance behaviors and functional impact noted (work, school, relationships)
  • CBT or exposure hierarchy documented in treatment plan
  • LSAS or equivalent outcome measure score

Common Denial Reasons

  • Notes describe shyness or social discomfort without meeting DSM-5 criteria for social anxiety disorder
  • Lack of functional impairment documentation
  • Session time below 53 minutes without code correction

Applicable Modifiers

Reimbursement Notes

OON UCR $130–$210. Social anxiety disorder is well-supported for outpatient therapy authorization. Parity protections apply across all commercial plans.

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