CPT 90853 + ICD-10 F43.23: Adjustment disorder with mixed anxiety and depressed mood
Group psychotherapy billed with Adjustment disorder with mixed anxiety and depressed mood — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90853
Group psychotherapy
ICD-10 Code
F43.23
Adjustment disorder with mixed anxiety and depressed mood
Common Modifiers
Compatibility Notes
Group therapy for mixed adjustment reactions. Appropriate for structured groups addressing shared stressors. The most commonly used adjustment disorder specifier in group settings. Per-participant billing required.
Documentation Required
- ✓Per-participant stressor and diagnosis
- ✓Mixed anxiety and depressed mood symptoms per participant
- ✓Group session content and time-limited plan
Common Denial Reasons
- ✗Stressor absent per participant
- ✗Group billed as single claim
- ✗Symptoms suggesting primary disorder without differential documentation
Applicable Modifiers
Reimbursement Notes
OON UCR $50–$90 per participant. One of the most broadly accepted group therapy combinations.
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