There are many other insurance codes that have worked well for clinicians, including billing the psychotherapy code. Unfortunately, there are plans that make it very hard to get reimbursed. While there’s been a significant increase in success with insurance reimbursements over the last 3 years, challenges still exists. Also, biofeedback is not covered by Medicare or Medicaid, except for a few pain and neurological problems.

Options to Accepting Insurance?

Many professionals have chosen to not accept insurance for neurofeedback and are reporting significant success. Clients who are looking for an alternative are often more willing to pay for neurofeedback if they believe they will see results. Clinicians taking non-insurance-based payment will usually provide billing for clients to file with their own insurance.

Specific Insurance Billing Codes

Neurofeedback uses the same CPT billing code as biofeedback, 90901, which is gaining increased coverage. Insurance companies may be restrictive about which diagnostic codes are used with 90901 or may not reimburse well for this code. Other billing codes may also be used. Licensed mental health providers have also used the psychotherapy billing code. Others call the insurance provider and use what codes they specify.

90875 and 90876 are new codes for psychotherapy combined with biofeedback, but they are not yet as widely covered. Some neuropsychologists bill neurofeedback as part of a cognitive rehabilitation program. Other codes have been reportedly used on occasion, as well. Doctors may get better insurance reimbursement than other providers. Any decision about insurance billing codes is totally the responsibility of the clinician.

We recommend clinicians talk with other neurofeedback providers to learn more about the options available. Conference are a good way to talk with a number of people about what works for them.