4 articles in the wider archive have updated wording and source notes. The other 164 have not been fact-checked as part of this review. Older topics and links are retained to keep existing articles findable.
A commercial insurer doesn't have to deny a therapy claim to cut the pay. It can pay the claim and quietly reclassify a 53-minute session down to a shorter, cheaper code. In 2026 the longer 90837 session commonly pays 15% to 25% more than the shorter 90834, and Cigna began downcoding certain visits automatically on October 1, 2025. There is no denial, so there is nothing to appeal.
Medical and surgical visits pay clinicians 22% more than mental health visits on the same commercial insurance plan — 70% more at the top of the pay range.