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Anthem BC/BS -- need new required code for 90837

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  • Teresa Larrabee

    Just a guess but are they meaning they are no longer accepting 60 minute sessions and have gone to 45 minute as their "standard" or recommended CPT? About 6 months ago I had received a letter from one of the insurance carriers stating they basically had concerns at the amount of sessions being billed under 90837, I was told by the billing department to disregard the letter and ultimately duration and frequency of care falls under my clinical opinion. I suggest looking at your Anthem BCBS contract and you will be able to see if they require preauthorization after so many sessions or whatever specifics they require. 

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