Common CPT Codes for Psychotherapy

George Georgiev
06.06.23 02:02 PM Comment(s)

CPT Billing codes for Therapy    

CPT codes play a vital role in medical billing and reimbursement for mental health providers. Here are some fast facts and the most common mental health CPT codes of 2022:

CPT codes, developed by the American Medical Association (AMA), describe medical services and treatments. They are used by federal healthcare programs and private insurers to track healthcare utilization and determine payment amounts.

There are three categories of CPT codes: Category I (most commonly used), Category II (for quality of care information), and Category III (for newer procedures and technologies).

Based on data from claims, the top mental health CPT codes used in 2022 by behavioral health providers in the US were:

1. 90837 - Psychotherapy, 60 minutes with the patient

2. 90834 - Psychotherapy, 45 minutes with the patient

3. 90791 - Psychiatric diagnostic evaluation

4. 90847 - Family psychotherapy (conjoint psychotherapy), 50 minutes with the patient present

5. 90834-95 - Psychotherapy, 45 minutes, telehealth

6. 90853 - Group psychotherapy (other than multiple-family group)

7. 90832 - Psychotherapy, 30 minutes with the patient

8. 90837-95 - Psychotherapy, 60 minutes, telehealth modifier

9. 97803 - Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes

10. 99214 - Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making.

Psychotherapy codes 90832, 90834, and 90837 are time-based codes, with flexibility in their duration.

The 2022 CPT code update included changes related to COVID-19 and digital healthcare services. It introduced vaccine-specific codes and codes for therapeutic remote monitoring.

It's important to stay updated on CPT code changes to ensure accurate billing and avoid denials. Reviewing the updates and using the most accurate codes for your services is essential for proper reimbursement.

Understanding CPT codes and their updates can help streamline your medical billing processes and ensure accurate reimbursement for your mental health services.

George Georgiev