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OMH Guidline questions for NY State — Family Psychotherapy

Hi Everyone,

Our BH clinic just switched from DOH to OMH and I’m getting used to the new guidelines.

For family psychotherapy, it states that in order to bill a 90847, the session must be 60 minutes long. What happens if it’s less time? The 90846 states a minimum of 30 minutes is acceptable. I’m wary of ‘downcoding’ it to a 90846 for the time requirements, because the 90847 is WITH patient present, and 90846 is WITHOUT patient present.

Do I just code it as a regular psychotherapy visit if it does not meet the 60 minute time requirement?

Thanks in advance!

Medical Billing and Coding Forum