The following are commonly used codes to bill for psychiatric services. If you are calling your insurance company to find out about reimbursement, ask about the boldfaced ones.
99205 – Initial evaluation
Evaluation & Management (E/M) codes (used for all my patients):
99212 – Outpatient Office E/M of established patient, straightforward
99213 – Outpatient Office E/M of established patient, low complexity
99214 – Outpatient Office E/M of established patient, medium complexity
99215 – Outpatient Office E/M of established patient, high complexity
“add-on” codes that are used in conjunction with the above E/M codes:
90833 – plus psychotherapy, 16-37 mins
90836 – plus psychotherapy, 38-52 mins <– for majority of 50 minute therapy sessions
90838 – plus psychotherapy, >52 mins
Other psychotherapy codes:
90846 – For children: Family psychotherapy, patient not present
90847 – For children: Family psychotherapy, patient present
For messages requiring medical advice:
99421 – Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5–10 minutes
99422 – Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11–20 minutes
99423 – Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes
For telephone calls:
99441 – telephone E/M service; 5-10 minutes of medical discussion
99442 – telephone E/M service; 11-20 minutes of medical discussion
99443 – telephone E/M service; 20 or more minutes of medical discussion
Miscellaneous codes:
90885 – Records review
90887 – Communication with treatment team
90889 – Report preparation
90899 – Unlisted service