1. Understanding codes for psychotherapy, collateral, and family therapy
Which Code Do I use?
Understanding codes for psychotherapy, collateral, and family therapy

2. So what is the difference?
Family members can participate in psychotherapy, family therapy, and collateral therapy
So what is the difference?

3. Psychotherapy with client and/or family or others*
Focus of the intervention is on the client
Helps the client identify and alleviate emotional disruptions, maladaptive behavior patterns, and contributing factors.
Encourages personal growth & development through coping techniques and problem solving skills.
Includes ongoing assessment
90832
16 to 37 minutes
90834
38 to 52 minutes
90837
53 to 75 minutes
*patient must be present for all or some of the services

4. Family Therapy
Focus of the intervention is the family dynamics as they affect the client’s mental status and behavior.
Therapy is aimed at improving the interaction between the client and family members.
Attention is also given to the impact the client has on the family members.
90846
Family psychotherapy without the client present
90847
Family psychotherapy with the client present
90849
Multi-family group psychotherapy

5. Collateral 90887 Collateral is not considered psychotherapy
It is an interpretation or explanation of evaluations, treatments or data
It is time spent explaining the client’s condition to the family
It is advising caregivers on how to best assist the client
Is provided to the family and other responsible persons
90887
Billed in 15 minute units