CPT 90853 + ICD-10 F60.3: Borderline personality disorder
Group psychotherapy billed with Borderline personality disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
Compatibility Notes
DBT skills training groups for BPD are a core component of standard DBT. This is one of the most evidence-based group therapy applications. Per-participant billing required with individual attendance and diagnosis on each claim. DBT groups typically run 2+ hours; time and attendance must be documented. Safety documentation is critical per participant.
Documentation Required
- ✓Per-participant attendance and BPD diagnosis
- ✓DBT skills module covered in session (mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness)
- ✓Individual participant progress and skills practice noted
- ✓Safety screen per participant
- ✓Prior authorization number per participant if required
Common Denial Reasons
- ✗Group billed as single claim
- ✗DBT group billed without corresponding individual DBT sessions on the treatment plan
- ✗Missing safety documentation per participant
- ✗Notes do not specify DBT module or skills covered
Applicable Modifiers
Reimbursement Notes
OON UCR $50–$90 per participant. DBT groups are highly evidence-based for BPD; document the DBT program structure (skills group + individual + phone coaching components) to support authorization.
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