NR605 Psychotherapy Midterm

Psychotherapy Code

90832

Psychotherapy duration 16-37 minutes

Psychotherapy Code

90833

Psychotherapy duration 16-37 minutes used as an add on code to a E/M code

Psychotherapy Code

90834

Psychotherapy 38-52 minutes

Psychotherapy Code

90836

Psychotherapy 38 or more minutes used as an add on code to a E/M code

Psychotherapy Code

90837

Psychotherapy 53 or more minutes

Psychotherapy Code

90846

Family psychotherapy client not present

Psychotherapy Code

90847

Family psychotherapy with client present

Psychotherapy Code

90853

Group psychotherapy

Code

99221

Initial inpatient care encounter by the admitting provider, requires three of the following: a complete history, a comprehensive exam, and moderate complexity medical decision making

Code

99222

Initial inpatient encounter with a moderate severity presenting problem, requires all three key components: comprehensive medical history, comprehensive exam, and high complexity medical decision making

Code

99223

Highest level for an initial inpatient encounter with a high severity presenting problem, requires all three key components: comprehensive medical history, comprehensive exam, and high complexity medical decision making

Code

99224

Used for subsequent inpatient encounters, requires at least two of these three components: problem focused history, problem focused examination, straightforward or low complexity medical decision making

Code

99XXY

XX = 20

New client office/outpatient visit

Code

99XXY

XX = 21

Established client office/outpatient visit

Code

99XXY

XX = 22

Inpatient care

Code

99XXY

XX = 24

Consultation for office/outpatient

Code

99XXY

Y = 2

Straightforward - this is not used by providers; this code is used by office staff for procedures such as injections

Code

99XXY

Y = 3

Low - rarely used by providers, includes 1-2 chronic conditions, history components (past medical, social, family, etc.) and 2 or more review of systems (ROS) elements

Code

99XXY

Y = 4

Moderate, includes 1-3 history of present illness elements (HPI) or 1-2 chronic conditions, history components and 2 or more ROS elements

Code

99XXY

Y = 5

High, used most often for complex clients, includes 3 chronic conditions or 4 HPI elements, 2-3 history elements and a complete ROS

Psychoanalysis

Commonly used for clients who experience anxiety disorders, obsessive-compulsive disorder, depressive disorders, personality disorders, and sexual dysfunction. May also be helpful for clients whose personality traits are interfering in their relationships. The goals of this type of therapy include the development of a deeper understanding of self and a desire to create change. Clients who are likely to benefit from this therapy include reality-oriented clients with mature defenses and a strong sense of self and clients with neurotic to healthy personality organization

Psychodynamic Therapy

Time-limited form of psychotherapy. Occurs fewer days per week over a shorter length of time as opposed to psychoanalysis, typically 20-30 sessions with a termination date set at the beginning of therapy. Goals include enhancement of self-awareness and understanding the impact of the past on present behavior. Used when the client has a specific issue or conflict such as difficulty in relationships, school or work, or communication.

Expressive Psychotherapy

Appropriate for clients with unresolved, disorganized attachment styles and clients with a neurotic defense schema. This type of therapy, along with dialectical behavioral therapy, is the preferred form of psychotherapy for clients with a borderline personality disorder or borderline character structure. The goals of therapy include processing of relational trauma and learning emotional self-regulation.

Supportive Psychotherapy

An approach used to help clients who are experiencing emotional distress or problems in living. Appropriate for clients experiencing specific stressful situations, including clients with psychotic personality organization, those with a preoccupied or overly emotional attachment style, and those with immature defenses. The goals of therapy include problem-solving, management of feelings and life stressors, and symptom relief.

Introjection

Occurs when a person uncritically accepts another’s beliefs.

Retrojection

Occurs when a person turns back on themselves what they would like to do to another

Projection

Occurs when a person disowns aspects of themselves by assigning them to the environment

Confluence

Occurs when a person blurs the differentiation between the self and the environment

Deflection

Occurs when a person uses distraction to avoid sustained contact