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Official Description

Hypnotherapy

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Hypnotherapy, as defined by CPT® Code 90880, is a therapeutic technique that utilizes the altered state of consciousness to facilitate psychological and emotional healing. The term hypnotherapy is derived from the Greek word hypnos, which translates to sleep, although it is important to note that the individual undergoing hypnotherapy is not actually asleep. Instead, the process aims to relax the conscious mind while making the unconscious mind more accessible. This unique state allows for the exploration of memories, the addressing of specific questions, and the suggestion of targeted goals, impressions, or new behaviors. The methods employed to induce this altered state can vary significantly among practitioners, and there is no universally accepted standard for the practice. Sessions can range from a single, brief encounter to longer, regularly scheduled appointments, and may also include group sessions. Hypnotherapy is versatile and is applied in various contexts to treat a wide array of conditions and alleviate symptoms. Common applications of hypnotherapy include the management of anxiety, pain relief, treatment of psychosomatic disorders, alleviation of headaches, addressing depression, managing bed-wetting, treating eating disorders, overcoming addictions, healing ulcers, addressing erectile dysfunction, managing fibromyalgia, treating gastric disorders, aiding in insomnia, alleviating labor pain, and supporting post-surgical recovery.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

Hypnotherapy is indicated for a variety of conditions and symptoms, providing therapeutic benefits across multiple areas of mental and physical health. The following are explicitly recognized indications for the use of hypnotherapy:

  • Anxiety Hypnotherapy can help reduce feelings of anxiety and promote relaxation.
  • Pain It is utilized for pain management, helping patients cope with chronic pain conditions.
  • Psychosomatic Disorders Hypnotherapy may assist in addressing disorders where psychological factors significantly affect physical health.
  • Headache It can be effective in managing various types of headaches, including tension and migraine headaches.
  • Depression Hypnotherapy may be used as a complementary treatment for depressive symptoms.
  • Bed-Wetting It is indicated for children experiencing nocturnal enuresis (bed-wetting).
  • Eating Disorders Hypnotherapy can support individuals struggling with issues related to eating behaviors.
  • Addictions It is often employed to help individuals overcome various forms of addiction.
  • Ulcers Hypnotherapy may assist in the management of peptic ulcers by addressing stress and anxiety.
  • Erectile Dysfunction It can be used to address psychological factors contributing to erectile dysfunction.
  • Fibromyalgia Hypnotherapy may help manage symptoms associated with fibromyalgia.
  • Gastric Disorders It is indicated for various gastric issues, potentially alleviating symptoms through relaxation techniques.
  • Insomnia Hypnotherapy can be effective in treating sleep disorders, including insomnia.
  • Labor Pain It is utilized to help manage pain during labor and delivery.
  • Post-Surgical Recovery Hypnotherapy may support recovery processes following surgical procedures.

2. Procedure

The procedure of hypnotherapy involves several key steps that facilitate the therapeutic process. Each session typically begins with an initial consultation where the therapist assesses the patient's needs and discusses the goals of the hypnotherapy. This step is crucial for establishing rapport and understanding the specific issues the patient wishes to address.

  • Step 1: Induction The therapist employs various techniques to induce a state of relaxation and focus in the patient. This may involve guided imagery, progressive muscle relaxation, or verbal suggestions aimed at calming the mind and body.
  • Step 2: Deepening Once the patient is in a relaxed state, the therapist may use additional techniques to deepen the trance. This can include counting down or suggesting that the patient feels increasingly relaxed and comfortable.
  • Step 3: Suggestion In this phase, the therapist provides specific suggestions tailored to the patient's goals. These suggestions may involve changing negative thought patterns, reinforcing positive behaviors, or exploring memories that may be relevant to the patient's concerns.
  • Step 4: Awakening After the therapeutic suggestions have been made, the therapist gradually brings the patient back to full awareness. This is often done by counting up or suggesting that the patient will feel refreshed and alert upon awakening.
  • Step 5: Post-Session Discussion Following the session, the therapist may engage in a discussion with the patient to reflect on the experience, address any questions, and reinforce the suggestions made during the session.

3. Post-Procedure

After a hypnotherapy session, patients may experience a range of effects, including relaxation and a sense of well-being. It is common for patients to feel more at ease and to have a clearer perspective on their issues. Some may also notice immediate changes in their thoughts or behaviors related to the goals set during the session. It is important for patients to follow any recommendations provided by the therapist, which may include practicing self-hypnosis techniques or engaging in relaxation exercises at home. Additionally, patients are encouraged to attend follow-up sessions as needed to reinforce the therapeutic effects and continue working towards their goals. Overall, the post-procedure phase is essential for consolidating the benefits of hypnotherapy and ensuring ongoing progress in the patient's treatment journey.

Short Descr HYPNOTHERAPY
Medium Descr HYPNOTHERAPY
Long Descr Hypnotherapy
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.
25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59.
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.
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Pre-1990 Added Code added.
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