What this is, in plain language
A therapy session where one therapist treats several people together in a group setting.
Why a clinician orders it
Depression, anxiety, substance use recovery, grief, or skills training in a group format.
Medical necessity — what insurers usually look at
Usually covered at a lower cost per session than individual therapy. Check that the group and facilitator are in-network.
New to this? Read what medical necessity means and how to appeal a denial.
Documentation to ask about
- ✓Facilitator's in-network status
- ✓Diagnosis supporting group treatment
Questions for your provider
- ?Is the group in-network with my plan?
- ?What is my copay for group vs. individual sessions?
Why this code is in our seed set
Common group therapy code; validated against AMA CPT and payer mental health policies.
Validated against
- •AMA CPT code 90853 descriptor
- •Mental Health Parity and Addiction Equity Act
Terms you'll see
Medical NecessityRead more →
The insurer is reviewing whether the service is clinically appropriate for your situation.
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.