Clinical quick reference Internal use only

Intake

Duration

Intake sessions are typically 60–90 minutes. Do not book a standard 55-minute slot for an intake.

Required documentation

  • Intake note (90791) — completed within 24 hours
  • Diagnosis documented in Sessions Health
  • Treatment plan initiated within the first 1–2 sessions
  • Confirm all consent paperwork is signed in Sessions Health before the session

Scheduling workflow

Michael routes new clients from the consultation gate to your calendar. Do not self-schedule new intakes without coordinating with Michael. Confirm insurance verification is complete before the first session.

Couples intake

Couples intakes use CPT codes 90791 (individual intake) and 90847 (family therapy with patient present) billed under Person A's insurance. Do not use two 90791 codes. Book both under Person A's individual record in Sessions Health.

Consultation workflow

Free consultations are 15–20 minutes. Not billable. Document in Sessions Health. If proceeding to intake, Michael coordinates next steps with the client.

Fit determination

If a client is not a fit for your caseload, notify Joe and Michael promptly. Do not continue scheduling while fit concerns are unresolved. Referrals to outside providers should be documented.

CPT billing codes

CodeServiceNotes
90791Psychiatric diagnostic evaluationUse for all intake sessions. 60–90 min.
90834Individual therapy, 45 minUse when session is clearly shorter than standard.
90837Individual therapy, 60 minStandard session code. 53–60 minutes.
90847Family therapy with patient presentUse for couples sessions after intake.
90846Family therapy without patient presentUse for collateral sessions (parent consultation, etc.).

When in doubt about which code to use, ask Joe before billing.