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    v1.0.28
    OpenPayerBilling CodesOutpatient PPSHCPCS hcpcs-c7903-group-psychotherapy-telehealth-patient-home
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    HCPCS C7903: Remote Group Psychotherapy for Mental Health/Substance Use

    HCPCS Level II code C7903 describes a group psychotherapy service delivered remotely by hospital-employed clinicians licensed to provide mental health services, provided for diagnosis, evaluation, or treatment of a mental health or substance use disorder when the patient is located in their home and there is no associated professional service reported; this is a telehealth behavioral health group therapy service performed by hospital staff and is categorized as a remote/virtual behavioral health visit with the typical site of service being the patient’s home.

    For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.

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    Clinical & Coding Specifications

    Clinical Context

    A 38-year-old patient with recurrent major depressive disorder and co-occurring alcohol use disorder participates in a hospital-delivered group psychotherapy session conducted remotely while the patient is at home. The hospital’s licensed behavioral health staff (for example, a licensed clinical social worker or licensed psychologist employed by the hospital) convene a 50-minute structured therapeutic group via a secure telehealth platform. The session focuses on cognitive-behavioral strategies, relapse prevention, and peer support and does not include any separate physician or psychiatrist professional service billed concurrently. Clinical workflow: prior to the session the hospital schedules the remote group, obtains informed consent for telehealth, verifies patient identity and location, confirms licensure and scope of practice for the delivering staff, documents attendance and a group treatment note including goals, interventions, patient responses, and any safety concerns, and captures the service under the hospital outpatient billing system using the remote group psychotherapy HCPCS Level II code C7903 when all program and payer rules are met.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    90853Group psychotherapy (other than of a multiple-family group)Common in-person outpatient group equivalent; used when group therapy is delivered face-to-face rather than as a hospital-staff remote service billed with C7903
    90834Psychotherapy, 45 minutes with patient when performed individuallyMay be billed for individual psychotherapy sessions provided before or after group therapy by licensed clinicians; different service than group remote hospital staff service
    G2012Brief communication technology-based service, e.g., virtual check-in (phone)May be used for brief telephonic follow-up or triage between formal group sessions when supported by payer policy
    99492Initial psychiatric collaborative care management, first 70 minutes in the first calendar monthMay be billed when the group therapy is part of a broader collaborative care model overseen by primary care and psychiatric consultants
    99354Prolonged service in the office or outpatient setting, directly face-to-face; first hourMay apply to prolonged hospital outpatient behavioral health sessions when documented and payer permits billing for extended time alongside group services

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    23Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    95Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    101YM0800XMental Health CounselorBehavioral Health & Social Service Providers · Counselor
    103T00000XPsychologistA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
    2471B0102XBone Densitometry Radiologic TechnologistA radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standa…
    225XH1300XHuman Factors Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers · Occupational Therapist
    1835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescrip…
    163WS0200XSchool Registered NurseNursing Service Providers · Registered Nurse
    246ZB0500XBiochemistTechnologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Other
    124Q00000XDental HygienistAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental exa…

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    6 rows

    PolicyPayerEffective Date
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    Cardiovascular Disease Risk AssessmentOscar Health2026-10-01
    Biomarkers for Myocardial Infarction and Chronic Heart FailureOscar Health2026-10-01
    Multiple Procedure Payment Reduction for Diagnostic Cardiovascular ProceduresBlue Cross Blue Shield - Maine2026-10-01
    Cardiovascular Disease Risk Assessmentblue cross blue shield - louisiana2026-09-15
    Cardiovascular Disease Risk AssessmentBlue Cross Blue Shield - New Mexico2026-09-04

    Related Codes

    HCPCS-C1713-IMPLANTABLE-ANCHOR-SCREW-BONE-FIXATION

    HCPCS C1713: Anchor/Screw for Bone or Soft Tissue Fixation (Implantable)

    HCPCS-C1714-TRANSLUMINAL-DIRECTIONAL-ATHERECTOMY-CATHETER

    HCPCS C1714: Catheter, transluminal atherectomy, directional

    HCPCS-C1715-BRACHYTHERAPY-NEEDLE

    HCPCS C1715: Brachytherapy Needle

    HCPCS-C1716-BRACHYTHERAPY-GOLD-198-SOURCE

    HCPCS C1716: Brachytherapy Source, Gold-198, Per Source

    HCPCS-C1717-HDR-BRACHYTHERAPY-IRIDIUM-192-SOURCE

    HCPCS C1717: HDR Iridium-192 Brachytherapy Source, Per Source

    HCPCS-C1719-BRACHYTHERAPY-IRIDIUM-192-SOURCE-NON-STRANDED

    HCPCS C1719: Brachytherapy Source, Iridium-192, Non-Stranded

    HCPCS-C1721-IMPLANTABLE-DUAL-CHAMBER-CARDIOVERTER-DEFIBRILLATOR

    HCPCS C1721: Cardioverter-Defibrillator, Dual Chamber (Implantable)

    HCPCS-C1724-ROTATIONAL-TRANSLUMINAL-ATHERECTOMY-CATHETER

    HCPCS Level II C1724: Rotational Transluminal Atherectomy Catheter

    HCPCS-C1725-TRANSLUMINAL-ANGIOPLASTY-CATHETER-NON-LASER

    HCPCS Level II C1725: Transluminal Angioplasty Catheter, Non-Laser

    HCPCS-C1726-NON-VASCULAR-BALLOON-DILATATION-CATHETER

    HCPCS C1726: Catheter, Balloon Dilatation, Non-Vascular

    Showing 1–10 of 603

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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