No. CPT 90840 is an add-on code and must always be billed with 90839; 90839 is the initial crisis psychotherapy session code for the first 60 minutes, and 90840 is the add-on for each additional 30 minutes beyond the first hour. The 90840 CPT code cannot be used independently under any circumstances or with other billing crisis codes.

CPT Code 90840: Under psychotherapy for crisis services and procedures
Understand how to document and bill CPT 90840 for crisis psychotherapy, including time, documentation, and billing rules. Read this guide to learn more.
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Frequently asked questions
The minimum time requirement for CPT 90840 is 30 additional minutes of continuous face-to-face time beyond the initial 60 minutes of crisis psychotherapy documented under CPT 90839.
Yes. You may bill multiple units of 90840 in 30-minute increments if the session exceeds 90 minutes. For example, 90839 + 2 units of 90840 would cover a 120-minute session. Accurate time tracking and detailed documentation are essential.
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