CPT 90837 + ICD-10 F43.22: Adjustment disorder with anxiety
Psychotherapy, 60 minutes billed with Adjustment disorder with anxiety — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90837
Psychotherapy, 60 minutes
ICD-10 Code
F43.22
Adjustment disorder with anxiety
Compatibility Notes
Appropriate when a patient develops anxiety symptoms in response to a specific identifiable stressor, without meeting criteria for a primary anxiety disorder. This is a short-term, time-limited diagnosis expected to resolve within 6 months of stressor removal. Most commercial plans cover 10–20 sessions without prior authorization.
Documentation Required
- ✓Session start and stop times confirming 53+ minutes
- ✓Stressor documented with onset date
- ✓Anxiety symptoms causally linked to the stressor and causing functional impairment
- ✓Absence of criteria for a primary anxiety disorder (F41.1, F40.10, etc.) noted in assessment
- ✓Time-limited treatment plan
Common Denial Reasons
- ✗Stressor onset date missing from clinical notes
- ✗Duration beyond 6 months without diagnosis update
- ✗Anxiety symptoms appear consistent with a primary anxiety disorder without documentation of the differential
Applicable Modifiers
Reimbursement Notes
OON UCR $130–$210. Some plans enforce shorter session limits for adjustment disorders; document evidence-based interventions and ongoing impairment to support extended authorization if needed.
Generate a superbill with CPT 90837 and ICD-10 F43.22
Superbilled makes it easy to include the correct CPT and ICD-10 codes on every superbill. Create a compliant, insurance-ready document in minutes.
Generate superbill with 90837 + F43.22 free