Coding Update: Psychiatry Changes for 2014 (April 2014)

April 2014 page 6 Coding Update: Psychiatry Changes for 2014 The Medicine/Psychiatry subsection (90785-90899) of the Current Procedural Terminology (CPT®) code set had many changes for 2013. For 2014, an instructional parenthetical note was added following code 90837, Psychotherapy, 60 minutes with patient and/or family member. The parenthetical indicates that face-to-face psychotherapy services of 90 minutes or longer that are not performed with an evaluation and management (E/M) service, may be reported with the appropriate prolonged services code (99354-99357) in addition to the psychotherapy services. Further, the previous parenthetical note following code 90838, Psychotherapy, 60 minutes with patient...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a 2014 psychiatry coding update in CPT and highlights changes affecting psychotherapy documentation and reporting. It is relevant to coders, billing staff, and clinicians working in behavioral health or medicine/psychiatry services who need to understand the scope of the update and the associated guidance discussed in the article.

Why This Topic Matters

Psychiatry coding changes can affect how psychotherapy services are documented and reported, especially when prolonged service guidance and instructional notes change from one year to the next.

Article Sections

  1. April 2014 page 6

    Publication context for the update and its placement within the source issue.

  2. Coding Update: Psychiatry Changes for 2014

    Overview of the psychiatry-related CPT update for 2014, including changes affecting psychotherapy reporting and related instructional notes.

  3. Clinical Example (90837) / Description of Procedure (90837)

    A paired clinical example and procedure description illustrating psychotherapy service reporting concepts for one psychiatry code.

  4. Clinical Example (90838) / Coding Tip / Description of Procedure (90838)

    A second paired example with a coding tip and procedure description covering psychotherapy service reporting concepts for another psychiatry code.

What You Will Learn

  • What type of CPT psychiatry update the article addresses
  • How the article frames psychotherapy-related reporting guidance
  • Which parts of the update are illustrated with clinical examples and procedure descriptions
  • What general areas of documentation and reporting are discussed for psychotherapy services

Who Should Read This

  • Medical coders
  • Billing and reimbursement staff
  • Behavioral health clinicians
  • Psychiatry practice administrators
  • Compliance and documentation professionals

Codes Discussed

Code Ranges Discussed


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