CPT 90837 is a 60-minute individual psychotherapy session (53 minutes or more). It is used for trauma work, intensive therapy and initial sessions where more time is needed. Some insurers question frequent use of the 60-minute code, which is one reason many practices default to 45 minutes.
What the price covers
The session only. At hospital-owned clinics a facility fee may be added. Medication management is a separate code.
Why prices vary
Hospital-based therapy is generally more expensive than private practice for the same session length. Private-practice cash rates for 60 minutes commonly range from $120 to $300; many therapists offer sliding scales, and community clinics charge by income.
Questions to ask
- What is the self-pay price for 90837, and is there a facility fee?
- Would 45-minute sessions (90834) meet the same need at a lower price?
- Is a sliding scale available?