© Copyright 2025 American Medical Association. All rights reserved.
Individual psychophysiological therapy incorporating biofeedback training by any modality is a specialized therapeutic approach that combines biofeedback techniques with psychotherapy in a face-to-face setting with the patient. This type of therapy is particularly beneficial for individuals dealing with stressors that lead to anxiety disorders, chronic pain, and various somatic symptoms. The core component of biofeedback involves the use of electronic devices that monitor physiological functions such as skin conductance, muscle tension, skin temperature, and heart rate. By providing real-time feedback, patients can learn to gain control over their autonomic nervous system functions, which can help alleviate symptoms associated with stress and anxiety. In conjunction with biofeedback, psychotherapy plays a crucial role in this therapeutic process. It may include various techniques such as insight-oriented discussions, behavior modification strategies, and supportive counseling. The goal of psychotherapy in this context is to facilitate self-understanding and behavioral change through re-education, support, and reassurance. For billing purposes, CPT® Code 90875 is designated for a 30-minute session of this combined therapy, while CPT® Code 90876 is used for a 45-minute session.
© Copyright 2025 Coding Ahead. All rights reserved.
The indications for individual psychophysiological therapy incorporating biofeedback training include the following conditions and symptoms:
The procedure for individual psychophysiological therapy incorporating biofeedback training consists of several key steps:
Post-procedure care for patients undergoing individual psychophysiological therapy incorporating biofeedback training typically involves follow-up sessions to monitor progress and reinforce learned techniques. Patients are encouraged to practice the skills acquired during therapy in their daily lives to enhance their coping strategies. The therapist may provide additional resources or exercises to support the patient's ongoing development. It is important for patients to communicate any changes in their symptoms or new stressors that may arise between sessions, as this information can guide future therapeutic interventions.
| Short Descr | PSYCHOPHYSIOLOGICAL THERAPY | Medium Descr | INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN | Long Descr | Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutes | Status Code | Non-Covered Service | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | 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 |
| 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. | 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. | AH | Clinical psychologist | AJ | Clinical social worker | FS | Split (or shared) evaluation and management visit | GT | Via interactive audio and video telecommunication systems | GZ | Item or service expected to be denied as not reasonable and necessary | SA | Nurse practitioner rendering service in collaboration with a physician | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Description Changed |
| 1998-01-01 | Changed | Description changed |
| 1997-01-01 | Added | First appearance in code book in 1997. |
Get instant expert-level medical coding assistance.