Psychiatry, Psychology, and Therapy Billing Across Specialties
The process of mental health billing needs specialty-specific CPT coding, clinical documentation and payer compliance. Medication orders, psychiatric evaluations, psychotherapy and psychological testing are just a few of the services that require accurate claims to be submitted, depending on the type of service and the provider's credentials. Dedicated psychiatry billing services and comprehensive medical coding services support consistent reimbursement workflows across behavioral health practices. Eligible mental health counselors and marriage and family therapists can also bill separately for covered services as a mental health provider, with enrollment requirements.
Psychiatric Evaluations and Psychotherapy CPT Coding
Psychiatric diagnostic evaluations are CPT codes 90791 and 90792 and individual psychotherapy services are typically CPT codes 90832, 90834 and 90837. Supporting documentation, service-time validation, and medical necessity review are all critical for the accurate selection of codes. Use of appropriate ICD-10-CM diagnosis coding provides clinical justification for services and supports and facilitates claim requirements across payers.
E/M Add-Ons, Crisis Intervention, Family, and Group Therapy
Psychotherapy add-on codes (90833, 90836, 90838) can be used in combination with qualified evaluation and management (E/M) codes if the psychotherapy is separately identifiable and there is documentation to support both services. Crisis psychotherapy is coded 90839 and 90840 (if applicable). Family Therapy is coded 90846 or 90847, and Group Psychotherapy is coded 90853. Interactive complexity code 90785 is only applicable if factors of documented communication meet the criteria and applicable coding rules of this code.
Psychological Testing and Behavioral Health Integration
Accurate reporting of evaluation, interpretation, test administration, and test scoring activities are necessary for psychological and neuropsychological testing. Codes relevant to this include 96130-96133 for professional evaluation services as well as 96136-96139 for test administration and scoring. If applicable, 96127 may be used for brief emotional/behavioral evaluations. Collaborative Care Model codes 99492-99494 and general behavioral health integration code 99484 can be used in integrated care workflows as applicable to the service, documentation, time and payer requirements.