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Individual psychophysiological therapy incorporating biofeedback training is a specialized therapeutic approach that combines the use of biofeedback techniques with psychotherapy. This therapy is conducted in a face-to-face setting with the patient and is designed to address various psychological and physiological issues. The primary aim of psychophysiological therapy is to assist individuals in managing stressors that may lead to anxiety disorders, chronic pain, and somatic symptoms. Biofeedback is a key component of this therapy, utilizing electronic devices to 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 responses, which can help alleviate symptoms associated with stress and anxiety. In conjunction with biofeedback, psychotherapy techniques such as insight-oriented discussions, behavior modification strategies, and supportive counseling are employed to facilitate self-understanding and behavioral change. This comprehensive approach not only addresses the psychological aspects of the patient's condition but also empowers them to take an active role in their own health management. For billing purposes, the CPT® code 90876 is specifically designated for a 45-minute session of this combined therapy, while code 90875 is used for a shorter, 30-minute session.
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Individual psychophysiological therapy incorporating biofeedback training is indicated for patients experiencing a range of psychological and physiological conditions. The following are explicitly provided indications for this procedure:
The procedure for individual psychophysiological therapy incorporating biofeedback training consists of several key steps that are essential for effective treatment. Each step is designed to ensure that the patient receives comprehensive care tailored to their specific needs.
After the completion of the individual psychophysiological therapy session, patients are encouraged to engage in self-care practices that reinforce the skills learned during therapy. This may include regular practice of biofeedback techniques at home, journaling about their experiences, and applying coping strategies in real-life situations. Follow-up sessions are typically scheduled to monitor progress, address any ongoing issues, and adjust the treatment plan as necessary. Patients should be informed about the importance of consistency in attending therapy sessions to achieve optimal results in managing their symptoms.
| Short Descr | PSYCHOPHYSIOLOGICAL THERAPY | Medium Descr | INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 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); 45 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 | 0 | 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. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | 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 | KX | Requirements specified in the medical policy have been met |
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| 2013-01-01 | Changed | Description Changed |
| 1997-01-01 | Added | First appearance in code book in 1997. |
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