![]() Unlike the add-on codes included in Health Behavior Assessment and Intervention and Psychological or Neuropsychological Testing code sets, interactive complexity is not intended to be used to report increased time to complete the service.Īccording to CPT guidelines, psychologists can report interactive complexity in conjunction with diagnostic evaluation (CPT code 90791), individual psychotherapy (CPT codes 90832, 90834, 90837) or group psychotherapy (90853) services, if at least one of the following complicating factors are present and documented in the patient record: Read on for guidance on how to report interactive complexity and some clinical examples of when it applies. The guidelines for properly reporting interactive complexity have been revised and the new rules became effective on January 1, 2022. When this happens, you may use CPT ® code 90785, the designated add-on code to report interactive complexity, in conjunction with the appropriate psychotherapy service, to report to insurers about the services you’ve provided. ![]() Difficult communication with discordant or emotional family members and trying to engage with young and verbally undeveloped or impaired patients are examples of the factors that can complicate service delivery. ![]() Interactive complexity is typically present with patients who have third parties-such as parents, guardians, other family members, agencies, court officers, or schools-involved in their care. This type of scenario is known as interactive complexity, and there are specific CPT codes that psychologists should use when billing for these sessions. During a psychotherapy session, specific communication factors may arise that make it difficult to deliver a service or administer treatment to a patient.
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