CPT 90837 + ICD-10 F90.1: Attention-deficit hyperactivity disorder, predominantly hyperactive type
Psychotherapy, 60 minutes billed with Attention-deficit hyperactivity disorder, predominantly hyperactive type — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90837
Psychotherapy, 60 minutes
ICD-10 Code
F90.1
Attention-deficit hyperactivity disorder, predominantly hyperactive type
Compatibility Notes
Used for psychotherapy targeting hyperactive/impulsive ADHD presentations. Parent management training, behavioral activation, and impulse control-focused CBT are common approaches. More common in pediatric populations, though adults with predominantly hyperactive ADHD also receive psychotherapy. As with F90.0, 90837 covers psychotherapy — neuropsychological testing requires 96130–96131.
Documentation Required
- ✓Session start and stop times confirming 53+ minutes
- ✓ADHD-HI diagnosis with documented hyperactive and impulsive symptoms
- ✓Age of onset noted (symptoms present before age 12 per DSM-5)
- ✓Functional impairment documented across settings
- ✓Behavioral or CBT approach specified in session notes
Common Denial Reasons
- ✗Pediatric claims: payer may require the parent/guardian to be the billing party or a separate CPT code for parent training
- ✗Session time outside the 53-minute threshold for 90837
- ✗Notes do not reflect active psychotherapy (read like a behavioral consultation)
Applicable Modifiers
Reimbursement Notes
OON UCR $130–$210. ADHD-HI psychotherapy in children may have lower authorization limits than in adults on some plans — check pediatric mental health benefit details.
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