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The documentation standard for 90834 per CMS and Noridian Medicare mental health billing guidance requires: documented start and stop times (example: "Session: 2:05 PM to 2:51 PM, 46 minutes"), the therapeutic modality used (CBT, DBT, EMDR, supportive therapy), specific interventions described in behavioral terms, the patient's response to interventions, mental status observations, risk assessment, and progress toward documented treatment goals

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[9] [10] This has been used to decontaminate patients who are internally contaminated with tritiated water

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