© Copyright 2025 American Medical Association. All rights reserved.
Assistive virtual reality (VR) technology is utilized as a therapeutic tool to enhance behavioral therapy, particularly for individuals with developmental and mental health disorders. This innovative approach allows users to engage in a controlled and safe environment where they can focus their attention and practice essential skills. The VR system is designed to help users learn to mimic or imitate gestures, which is crucial for improving language, communication, and social interaction abilities. Commonly, this technology is employed for patients diagnosed with conditions such as autism or Asperger’s syndrome. Prior to the application of the VR headpiece, the therapist provides a thorough explanation of the device and the experience it offers to ensure the patient is comfortable and understands the process. Once the software program is initiated, the therapist closely monitors the patient's interactions throughout the exercises, ready to intervene as necessary to facilitate the completion of the teaching module. This structured approach not only aids in skill development but also fosters a supportive learning environment tailored to the needs of the individual.
© Copyright 2025 Coding Ahead. All rights reserved.
The use of virtual reality technology in therapy is indicated for various conditions and symptoms, particularly those related to developmental and mental health disorders. The following are the primary indications for this procedure:
The procedure involving the use of virtual reality technology for therapy consists of several key steps that ensure effective engagement and learning for the patient. Each step is crucial for the overall success of the therapy session.
After the completion of the virtual reality therapy session, the therapist may provide feedback to the patient regarding their performance and progress. It is important to discuss the experiences encountered during the session, as this reflection can enhance learning outcomes. Additionally, the therapist may recommend follow-up sessions or additional exercises to further develop the skills practiced in the VR environment. The overall recovery and adaptation process will vary based on the individual needs of the patient, and ongoing support may be necessary to reinforce the skills learned during therapy.
| Short Descr | VR TECHNOLOGY ASSIST THERAPY | Medium Descr | VIRTUAL REALITY TECHNOLOGY TO ASSIST THERAPY | Long Descr | Virtual reality technology to assist therapy (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 3 - Technical Component Only Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 90832 | Telehealth Service (Medicare) Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC Q3 Psychotherapy, 30 minutes with patient | 90833 | Telehealth Service (Medicare) Addon Code Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC N Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | 90834 | Telehealth Service (Medicare) Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC Q3 Psychotherapy, 45 minutes with patient | 90836 | Telehealth Service (Medicare) Addon Code Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC N Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | 90837 | Telehealth Service (Medicare) Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC Q3 Psychotherapy, 60 minutes with patient | 90838 | Telehealth Service (Medicare) Addon Code Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC N Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | 90847 | Telehealth Service (Medicare) Telemedicine Service (AMA) Audio-Only Telemedicine (AMA) MPFS Status: Active Code APC Q3 PUB 100 CPT Assistant Article Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes | 90849 | MPFS Status: Active Code APC Q3 PUB 100 CPT Assistant Article Multiple-family group psychotherapy | 90853 | Telehealth Service (Medicare) MPFS Status: Active Code APC Q3 PUB 100 CPT Assistant Article Group psychotherapy (other than of a multiple-family group) | 92507 | Telehealth Service (Medicare) Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual | 92508 | Telehealth Service (Medicare) Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals | 96158 | Telehealth Service (Medicare) Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC Q3 Health behavior intervention, individual, face-to-face; initial 30 minutes | 96159 | Telehealth Service (Medicare) Add-on Code Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC N Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 96164 | Telehealth Service (Medicare) Resequenced Code Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC Q3 Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes | 96165 | Telehealth Service (Medicare) Add-on Code Resequenced Code Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC N Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 96167 | Telehealth Service (Medicare) Resequenced Code Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC Q3 Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutes | 96168 | Telehealth Service (Medicare) Add-on Code Resequenced Code Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Active Code APC N Health behavior intervention, family (with the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 96170 | Telehealth Service (Medicare) Resequenced Code Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Non-covered Service APC E1 Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes | 96171 | Telehealth Service (Medicare) Add-on Code Resequenced Code Audio-Only Telemedicine (AMA) Telemedicine Service (AMA) MPFS Status: Non-covered Service APC E1 Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 97110 | Telehealth Service (Medicare) Telemedicine Service (AMA) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility | 97112 | Telehealth Service (Medicare) Telemedicine Service (AMA) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities | 97129 | Telehealth Service (Medicare) MPFS Status: Active Code APC A Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; initial 15 minutes | 97150 | Telehealth Service (Medicare) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Therapeutic procedure(s), group (2 or more individuals) | 97153 | Telehealth Service (Medicare) Resequenced Code MPFS Status: Carrier Priced APC Q3 Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes | 97154 | Telehealth Service (Medicare) Resequenced Code MPFS Status: Carrier Priced APC Q3 Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutes | 97155 | Telehealth Service (Medicare) Resequenced Code MPFS Status: Carrier Priced APC Q3 Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes | 97158 | Telehealth Service (Medicare) Resequenced Code MPFS Status: Carrier Priced APC Q3 Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutes | 97530 | Telehealth Service (Medicare) Telemedicine Service (AMA) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 97533 | MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes | 97535 | Telehealth Service (Medicare) Telemedicine Service (AMA) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes | 97537 | Telehealth Service (Medicare) MPFS Status: Active Code APC A PUB 100 CPT Assistant Article Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact, each 15 minutes |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2023-01-01 | Added | Code added. |
Get instant expert-level medical coding assistance.