Tackle CPT coding for E/M visits with psychiatric care

June 14th, 2021

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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 guidance applies when psychiatric care is furnished with an office or other E/M visit. It is intended for coding professionals and auditors who need a high-level understanding of the documentation themes, code families, sequencing concepts, and telemedicine-related reporting issues covered in psychiatric billing guidance.

Why This Topic Matters

Psychiatric services are often billed together with E/M visits, so accurate coding depends on understanding how the CPT framework separates service components, supports documentation, and addresses special situations such as add-on psychotherapy and telehealth.

Article Sections

  1. Reporting E/M services with psychiatric care

    Introduces the CPT framework for pairing psychiatric services with E/M reporting and discusses the documentation themes that must be present when services are reported together.

  2. Reporting psychotherapy with an E/M service

    Covers psychotherapy services furnished in conjunction with E/M visits, including general guidance on service selection, sequencing, and related CPT structure.

  3. Note about telehealth coding

    Summarizes the article’s telemedicine-related discussion for selected E/M services and the documentation theme associated with remote delivery.

What You Will Learn

  • How CPT guidance addresses psychiatric services reported with E/M visits
  • What documentation themes are discussed for combined psychiatric and medical services
  • How psychotherapy add-on coding is presented in relation to E/M visits
  • Which broad E/M service families are referenced in the article
  • What general telehealth reporting considerations are mentioned for selected E/M services

Who Should Read This

  • Medical coders
  • Coding auditors
  • Practice administrators
  • Behavioral health billing staff
  • Physician office billing teams

Codes Discussed

  • CPT: 90791
  • CPT: 90833
  • CPT: 90836
  • CPT: 90838
  • CPT: 99202
  • CPT: 99203
  • CPT: 99204
  • CPT: 99205
  • CPT: 99212
  • CPT: 99213
  • CPT: 99214
  • CPT: 99215
  • CPT: 99231
  • CPT: 99232
  • CPT: 99233
  • CPT: 99241
  • CPT: 99242
  • CPT: 99243
  • CPT: 99244
  • CPT: 99245
  • CPT: 99281
  • CPT: 99282
  • CPT: 99283
  • CPT: 99284
  • CPT: 99285
  • CPT: 99304
  • CPT: 99305
  • CPT: 99306
  • CPT: 99307
  • CPT: 99308
  • CPT: 99309
  • CPT: 99310
  • CPT: 99311
  • CPT: 99312
  • CPT: 99313
  • CPT: 99314
  • CPT: 99315
  • CPT: 99316
  • CPT: 99341
  • CPT: 99342
  • CPT: 99343
  • CPT: 99344
  • CPT: 99345
  • CPT: 99346
  • CPT: 99347
  • CPT: 99348
  • CPT: 99349
  • CPT: 99350

Code Ranges Discussed

  • CPT: 99202-99205
  • CPT: 99212-99215
  • CPT: 99231-99233
  • CPT: 99241-99255
  • CPT: 99281-99285
  • CPT: 99304-99337
  • CPT: 99341-99350

Modifiers Discussed

  • CPT: -95

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