Summary & Overview
CPT 90875: Psychophysiological Therapy with Biofeedback and Psychotherapy, 30 Minutes
CPT code 90875 represents a 30-minute psychophysiological therapy session that combines biofeedback training with psychotherapy to alter patient behavior. This code captures services where clinicians use physiological monitoring and feedback alongside psychotherapeutic techniques to address conditions with a behavioral or stress-related physiologic component. Nationally, this code matters for coverage determinations, clinical integration of biofeedback into mental health care, and coding clarity for blended therapy modalities.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the service captured by the code, typical settings where it is delivered, and the clinical context for use. The publication summarizes benchmarking and policy-oriented material where available, highlights documentation and coding considerations, and situates 90875 within behavioral health service lines. If payer-specific coverage or reimbursement details are available, they are presented in payer sections; where input data is not provided, the text notes "Data not available in the input." The goal is to give clinicians, billing professionals, and policy analysts a clear, national-level briefing on what CPT code 90875 denotes and the operational contexts in which it is used.
Billing Code Overview
CPT code 90875 describes a 30-minute psychophysiological therapy session using biofeedback training combined with psychotherapy to modify patient behavior. The service integrates biofeedback techniques (physiological monitoring and feedback) with psychotherapeutic interventions to help patients gain awareness and control over physiological processes related to behavioral or mental health concerns.
Service Type: Psychophysiological therapy with biofeedback and psychotherapy
Typical Site of Service: Outpatient behavioral health or mental health clinic; could also occur in integrated primary care or specialty mental health settings
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 38-year-old patient with chronic tension-type headaches and comorbid generalized anxiety disorder is scheduled for a 30-minute session of psychophysiological therapy using biofeedback combined with psychotherapy. The patient arrives to an outpatient behavioral health clinic where a licensed psychologist or clinical social worker trained in biofeedback prepares sensors (e.g., surface electromyography for forehead/neck muscle tension, skin temperature, and/or peripheral pulse sensors) and connects them to the biofeedback device. The clinician spends time reviewing recent symptom diaries and current stressors, explains the biofeedback signals and goals, then conducts guided relaxation and cognitive-behavioral techniques while the patient watches real-time physiologic feedback and practices modulating muscle tension and breathing. The session includes instruction, skill practice, and brief documentation of physiologic parameters and patient response. Typical workflow: check-in and vitals (if applicable), sensor placement and baseline recording, combined psychotherapy plus biofeedback training for 30 minutes, sensor removal, brief aftercare instructions, and charting. This procedure is commonly provided in outpatient behavioral health clinics, hospital outpatient departments, rehabilitation centers, and specialty pain clinics by clinicians credentialed to deliver biofeedback and psychotherapy.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing only the provider's professional interpretation/time separate from technical component |