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Psychoanalysis, as defined by CPT® Code 90845, is a specialized treatment modality that delves into the unconscious factors influencing a patient's present relationships, thought processes, emotional responses, and behaviors. This therapeutic approach typically involves frequent sessions, often multiple times a week, where the patient engages with a trained psychoanalyst. During these sessions, the patient usually reclines on a couch, creating an environment conducive to open and free expression of thoughts and feelings. The psychoanalyst's role is to actively listen and facilitate the patient's exploration of their inner experiences, encouraging them to articulate whatever comes to mind without censorship. Through this process, the psychoanalyst assists the patient in identifying recurring patterns in their thoughts, emotions, and behaviors that may be impacting their current relationships and overall life circumstances. The therapeutic journey involves tracing these identified patterns back to their origins, allowing for a comprehensive analysis of how they have evolved over time. By bringing unconscious factors to light, psychoanalysis aims to help patients gain insight into the root causes of their thought patterns, emotional states, and behaviors, thereby enhancing their understanding of how these elements influence their present lives. This increased awareness can empower patients to develop more effective coping strategies for managing their current life situations, ultimately fostering personal growth and emotional well-being.
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The indications for psychoanalysis, as outlined in the CPT® Code 90845, include a variety of psychological conditions and emotional difficulties that may benefit from in-depth exploration of unconscious processes. These indications may encompass:
The procedure of psychoanalysis involves several key steps that facilitate the therapeutic process. Each step is designed to create a safe and supportive environment for the patient to explore their thoughts and feelings.
Post-procedure care in psychoanalysis involves ongoing support and reflection on the insights gained during therapy sessions. Patients are encouraged to continue their exploration of thoughts and feelings outside of sessions, applying the insights gained to their daily lives. The therapeutic relationship remains a critical component, as the patient may need to discuss their experiences and feelings about the therapy process itself. Regular follow-up sessions are essential to monitor progress, address any emerging issues, and reinforce coping strategies developed during therapy. The overall goal is to empower the patient to understand and manage their emotional and psychological challenges more effectively, leading to improved mental health and well-being.
| Short Descr | PSYCHOANALYSIS | Medium Descr | PSYCHOANALYSIS | Long Descr | Psychoanalysis | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service 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 | Codes That May Be Paid Through a Composite APC | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5B - Specialist - psychiatry | MUE | 1 | CCS Clinical Classification | 218 - Psychological and psychiatric evaluation and therapy |
| 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GT | Via interactive audio and video telecommunication systems | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 96 | Habilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for habilitative purposes, the physician or other qualified health care professional may add modifier 96 to the service or procedure code to indicate that the service or procedure provided was a habilitative service. habilitative services help an individual learn skills and functioning for daily living that the individual has not yet developed, and then keep and/or improve those learned skills. habilitative services also help an individual keep, learn, or improve skills and functioning for daily living. | AH | Clinical psychologist | CR | Catastrophe/disaster related |
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| 1998-01-01 | Changed | Code description changed |
| 1990-01-01 | Added | First appearance in code book in 1990. |
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