Psychotherapy & Psychiatric Diagnostic

90871 CPT

Electroconvulsive therapy (ECT); multiple seizures, per day

System

CPT code

Timing

Per session (not a timed unit)

Add-on

No — billable on its own

CPT 90871 reports electroconvulsive therapy (ECT) with multiple seizures in a single day, including necessary monitoring. It is the multiple-seizure counterpart to 90870.

When to use 90871

Use 90871 when more than one seizure is induced during a single ECT treatment day. For a single seizure, use 90870. As with 90870, it is physician-only.

How to bill it

Report once per treatment day with multiple seizures. Confirm payer and facility billing rules for ECT.

Common pitfalls

  • Using 90870 when multiple seizures were actually delivered.
  • Billing ECT under a non-physician provider.

Frequently asked questions

When do I use 90871 instead of 90870?

Use 90871 when multiple seizures are delivered in a single treatment day; 90870 is for a single seizure.

Is 90871 physician-only?

Yes. ECT, including 90871, must be performed by a physician (MD/DO).

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