What CPT codes are used for behavioral health?

Asked by: Paul Cruickshank  |  Last update: October 19, 2023
Score: 4.6/5 (50 votes)

Common Mental Health CPT Codes
  • 90837 — Psychotherapy, 60 minutes. ...
  • 90834 — Psychotherapy, 45 minutes. ...
  • 90791 — Psychiatric diagnostic evaluation without medical services. ...
  • 90847 — Family psychotherapy (with client present), 50 minutes. ...
  • 90853 — Group psychotherapy (other than of a multiple-family group)

What is the CPT code for behavioral health therapy?

CPT Codes 90832-90838 represent psychotherapy. Psychotherapy without medical evaluation and management services are reported as 90832, 90834 and 90837.

What are the CPT codes for behavioral health screening?

CPT Code 96127 is a generic mental health screening code that is covered by most major insurances. It is designed to pay for the evenly applied screening of a large patient population to uncover underlying mental health conditions.

What is the ICD-10 screening for behavioral health?

ICD-10 code Z13. 30 for Encounter for screening examination for mental health and behavioral disorders, unspecified is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the CPT code for cognitive behavioral?

The CPT code for CBT therapy is 90834. This code is used to describe a 50-minute session of individual psychotherapy, which is the standard length for a CBT therapy session.

The Definitive Guide to Mental Health CPT Codes

33 related questions found

What is the ICD 10 code for behavioral health counseling?

ICD-10 code Z71. 9 for Counseling, unspecified is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is behavioral health code 90837?

CPT Code 90837 is a procedure code that describes a 60 minute individual psychotherapy session performed by a licensed mental health provider. 90837 is considered a routine outpatient CPT Code and is one of the most common CPT codes used in mental health insurance claims coding and billing.

What is the difference between 90834 and 90837?

Both 90834 and 90837 are designed to bill for the same service – psychotherapy. The primary distinguishing factor between the two codes is time; 90834 is defined as 45 minutes of psychotherapy, while 90837 is defined as 60 minutes.

What is CPT 90791 and 90837?

CPT® code 90791—psychiatric diagnostic evaluation without medical services—is the least commonly billed code when compared to 90837 and 90834. Even though 90791 can typically only be used once per customer for the very first session, clinicians tend to skip over it and go straight to billing 90837 or 90834.

What is the difference between 90791 and 90837?

CPT Code 90791 is typically billed for the initial intake appointment a client will have. Subsequent sessions will be billed with procedure codes 90834 and 90837, depending on the appointment duration.

What is the new CPT code for individual psychotherapy?

90838 – Psychotherapy, 60 minutes, with E/M service

Description: Individual psychotherapy, 60 minutes with client and/or family member when performed with an evaluation and management (E/M) service.

What is the CPT code for depression?

Screening for depression when symptoms ARE present – Use CPT 96127. CPT 96161 is used for administration, scoring, and documentation of a caregiver-focused risk assessment using a standardized instrument, such as screening for maternal depression during a well-child visit.

What is the CPT code for bipolar disorder?

ICD-10 Code for Bipolar disorder- F31- Codify by AAPC.

What is the ICD-10 code for anxiety disorder?

The most common ICD-10 code for anxiety — and the most frequently used ICD code among U.S.-based behavioral health practitioners — is F41. 1, which is the ICD code for generalized anxiety disorder (GAD).

What is the ICD-10 code for bipolar with behavior?

2023 ICD-10-CM Diagnosis Code F31. 2: Bipolar disorder, current episode manic severe with psychotic features.

What is the ICD-10 code for depression?

Depression ICD-10 Codes F32.

As stated above, F32. 9 describes major depressive disorder, single episode, unspecified.

What is the CPT code for generalized anxiety disorder?

ICD-Code F41. 1 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Generalized Anxiety Disorder. Its corresponding ICD-9 code is 300.02.

What is the CPT code for adjustment disorder with anxiety and depression?

Code F43. 23 is the diagnosis code used for Adjustment Disorder (AD) with Mixed Anxiety and Depressed Mood. It is sometimes known as situational depression. It occurs when an individual is unable to adjust to or cope with a particular stress or a major life event.

What is the CPT code for mixed anxiety and depressive disorder?

2: Mixed anxiety and depressive disorder.

What is the CPT code for psychiatric medication management?

Sometimes a medication check is just that, and should be billed with a 90862 CPT code. Use of codes 90805 – 90807 implies that the primary focus of the visit is psychotherapy; likewise use of 90862 indicates the purpose of the visit is mainly medication management.

Can a psychologist bill CPT 90791?

90791 is used by psychologists, social workers and other licensed behavioral health professional and 90792 is used by psychiatrists and psychiatric nurse practitioners and physician assistants, because it includes medical services.

How do I bill E&M with psychotherapy?

To report both E/M and psychotherapy, the two services must be significant and separately identifiable. You may report these services with an appropriate E/M code and an add-on code specifically for psychotherapy when performed with an E/M service (90833, 90836, 90838).

Is an E&M code the same as a CPT code?

Evaluation and management codes, often referred to as E&M codes or E and M codes are a coding system that involve the use of CPT codes from the range 99202 to 99499 which represent services provided by a physician or other qualified healthcare professional.