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CPT 90853 + ICD-10 F33.0: Major depressive disorder, recurrent, mild

Group psychotherapy billed with Major depressive disorder, recurrent, mild — documentation requirements, denial reasons, modifiers, and reimbursement context.

CPT Code
90853
Group psychotherapy
ICD-10 Code
F33.0
Major depressive disorder, recurrent, mild
Common Modifiers

Compatibility Notes

Group therapy for mild recurrent MDD — appropriate for maintenance-phase depression groups or relapse prevention programs. Per-participant billing required. PHQ-9 scores in the mild range (5–9) should be documented per participant.

Documentation Required

  • Per-participant attendance and recurrent mild MDD diagnosis
  • PHQ-9 in mild range per participant
  • Prior episode history per participant confirming recurrent course
  • Group relapse prevention or maintenance content

Common Denial Reasons

  • PHQ-9 inconsistent with mild specifier
  • Recurrent course not established
  • Group billed as single claim

Applicable Modifiers

Reimbursement Notes

OON UCR $50–$90 per participant. Mild recurrent MDD maintenance groups are well-accepted for step-down or relapse prevention programs.

Related Billing Guides

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