Quick Guide - Psychotherapy Billing And Coding
Psychological and mental health treatments are rising at considerable speed. Specialty clinics serving psychotherapy should be aware of changes in coding. Up to date knowledge in coding and billing helps to avoid denied claims.
Most common CPT codes used are:
Psychotherapy:-
90832 – 30 minutes with patient
+90833 – 30 minutes with a patient with E/M
90834 – 45 minutes with a patient
+90836 – 45 minutes with a patient with E/M
90837 – 60 minutes with a patient
+90838 – 60 minutes with patient with E/M
90845 – Psychoanalysis
90846 – Family psychotherapy (without the patient present); 50 minutes
90847 – Family psychotherapy (conjoint psychotherapy with patient present); 50 minutes
90848 – Multiple-family group psychotherapy
90853 – Group psychotherapy (not a multi-family group)
Psychiatric Diagnostic:-
90791 – Psychiatric diagnostic evaluate
90792 – Psychiatric diagnostic evaluation with medical services
Most important thing to remember while billing is the duration of the appointment, either in-person or virtual, and numbers of patients receiving care.
Records should include:
Date of appointment
Provider information
Whether it is in-person or virtual
Type of therapy
Diagnosis
Prescribed medications
Progress and follow-up
The staff should confirm up to date insurance information of patient when he arrives. Claims are commonly denied due to incorrect insurance information, incorrect codes, and late submissions.
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