What this is, in plain language
A one-hour individual psychotherapy session with a licensed mental-health clinician.
Why a clinician orders it
Treatment for depression, anxiety, trauma, life stressors, or other behavioral-health needs.
Medical necessity — what insurers usually look at
Coverage and copays vary widely. Some plans favor 45-minute sessions (90834) over 60-minute sessions (90837) and may audit frequent 90837 billing.
Documentation to ask about
- ✓Diagnosis and treatment plan
- ✓Session length and frequency
- ✓Progress toward goals
Questions for your provider
- ?Is my therapist in-network for my plan?
- ?Do I need a behavioral-health prior authorization after a certain number of visits?
Terms you'll see
Medical NecessityRead more →
The insurer is reviewing whether the service is clinically appropriate for your situation.
Prior AuthorizationRead more →
Some services may need plan approval before they are performed.
Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.