To get the most out of medical billing claims, accuracy is important. Codes and their modifiers may change, so it’s essential for mental health specialists to ensure that they’re using the most up-to-date codes to improve accuracy and maximize their collections.
Mental Health Code Ranges for 2023
These are the updated CPT codes for mental health practices in 2023:
- 90832 – psychotherapy, 30 minutes
- 90834 – psychotherapy, 45 minutes
- 90837 – psychotherapy, 60 minutes
- 90846 – family or couples psychotherapy, without patient present
- 90847 – family or couples psychotherapy, with patient present
- 90853 – group psychotherapy, not family
- 90791 – psychiatric diagnostic evaluation without medical services
- 90792 – psychiatric diagnostic evaluation with medical services
- 90865 – narcosynthesis
- 90867 – therapeutic transcranial magnetic stimulation, initial
- 90868 – therapeutic transcranial magnetic stimulation, subsequent
- 90870 – electroconvulsive therapy
- 90880 – hynotherapy
- 90882 – environmental manupulation
- 90885 – psychiatric evaluation of records
- 90887 – explanation to family
- 90889 – preparation of psychiatric report
- 90889 – unlisted psychiatric service or procedure
- 90901 – biofeedback training by any modality
- 90911 – EMG/manometry/biofeedback training
- 99201 – new patient office visit, 10 minutes
- 99202 – new patient office visit, 20 minutes
- 99203 – new patient office visit, 30 minutes
- 99204 – new patient office visit, 45 minutes
- 99205 – new patient office visit, 60 minutes
- 99211 – established patients, 5 minutes
- 99212 – established patients, 10 minutes
- 99213 – established patients, 15 minutes
- 99214 – established patients, 25 minutes
- 99215 – established patients, 40 minutes
- 99443 – telephone therapy, limit 3 hours
Mental Health Modifiers
Using modifiers makes CPT codes more accurate so collections from claims are able to increase.
- 95 – synchronous telehealth services
- GT – Medicare synchronous telehealth services
- AJ – licensed clinical social worker
- HJ – employee assistance program visits
- HE – mental health program
- HP – psychologist or doctorate level
- HN – bachelors degree level
- 310 – not vaccinated against COVID-19
- 311 – partly vaccinated against COVID-19
- 39 – indicates any other under-immunized status
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For informational purposes only.