Mental health overview: CPT coding for psychiatric assessments and psychotherapy

November 5th, 2019

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

Article Overview

This article explains how CPT is used to report a range of outpatient behavioral health services. It is aimed at coders, billers, and clinical documentation staff who need a general understanding of psychiatric assessment, psychotherapy, family and group therapy, crisis intervention, and other mental health services, along with related telemedicine and add-on coding considerations.

Why This Topic Matters

Behavioral health coding often depends on service type, timing, participant composition, and whether care is delivered with other services or through telemedicine. Understanding the article helps readers identify where CPT guidance applies across common office-based mental health encounters.

Article Sections

  1. Psychiatric diagnostic evaluations

    Introduces outpatient psychiatric assessment services and the related CPT framework used for initial diagnostic encounters. Also notes telemedicine considerations discussed in the article.

  2. Psychotherapy

    Covers individual psychotherapy services, timing-based reporting, and the relationship between psychotherapy and separately reported evaluation and management services. Includes telemedicine discussion for these services.

  3. Family therapy codes

    Reviews family and group therapy services, including family participation formats and multiple-family or general group settings. Also addresses the article’s telemedicine discussion for these therapy types.

  4. Pharmacologic management

    Describes psychotherapy sessions that include medication-related management and review. Discusses the broader context of reporting this type of behavioral health service.

  5. Interactive complexity

    Explains the use of an add-on service related to communication difficulty during behavioral health encounters. The section places this service in the context of psychiatric evaluations and psychotherapy.

  6. Psychotherapy for crisis

    Summarizes crisis-oriented psychotherapy in the outpatient setting and how it is presented within the article. The section distinguishes crisis care from routine psychotherapy.

  7. Psychoanalysis

    Provides an overview of psychoanalytic treatment and its place among behavioral health services discussed in the article. Telemedicine is also mentioned in connection with this service.

  8. Other therapies

    Touches on several less commonly used mental health therapies and where they fit within the CPT behavioral health landscape. This section serves as a broader catchall for additional services.

What You Will Learn

  • How CPT is used across common outpatient behavioral health services
  • The major categories of psychiatric assessment and psychotherapy discussed in the article
  • How session timing and service context affect behavioral health code selection
  • Which mental health services the article associates with telemedicine discussion
  • Where add-on services and special therapy types fit within the overall CPT framework

Who Should Read This

  • Medical coders
  • Billing staff
  • Behavioral health documentation specialists
  • Psychiatric practice staff
  • Compliance and reimbursement professionals

Codes Discussed

  • CPT: 90791
  • CPT: 90792
  • CPT: -95
  • CPT: 90832
  • CPT: 90834
  • CPT: 90837
  • CPT: 90833
  • CPT: 90836
  • CPT: 90838
  • CPT: 90846
  • CPT: 90847
  • CPT: 90849
  • CPT: 90853
  • CPT: 90863
  • CPT: 90785
  • CPT: 90839
  • CPT: 90840
  • CPT: 90845
  • CPT: 90870
  • CPT: 90875
  • CPT: 90880

Code Ranges Discussed

  • CPT: 90832-90838

Modifiers Discussed

  • CPT: -95

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