CPT 90853 + ICD-10 F90.1: Attention-deficit hyperactivity disorder, predominantly hyperactive type
Group psychotherapy billed with Attention-deficit hyperactivity disorder, predominantly hyperactive type — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90853
Group psychotherapy
ICD-10 Code
F90.1
Attention-deficit hyperactivity disorder, predominantly hyperactive type
Compatibility Notes
ADHD-HI skills groups. More common in pediatric and adolescent settings targeting impulse control and behavioral regulation. Parent involvement in parallel groups is common. Per-participant billing required.
Documentation Required
- ✓Per-participant attendance and ADHD-HI diagnosis
- ✓Group content (impulse control, behavioral regulation)
- ✓Individual participant progress notes
Common Denial Reasons
- ✗Group billed as single claim
- ✗Notes do not reflect active psychotherapy
- ✗No individualized participant notes
Applicable Modifiers
Reimbursement Notes
OON UCR $50–$90 per participant. Pediatric ADHD group therapy is broadly covered. Parent parallel groups billed separately under appropriate codes.
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