Mental Health CPT Code Cheat Sheet [2022]

Download your free Mental Health CPT Code Cheat Sheet created by TheraThink, a mental health insurance billing service.

CPT is an acronym for Current Procedural Terminology and a CPT code is a 5-digit number code signifying the types of services you’re providing as a health service provider.  Our behavioral health CPT code cheat sheet gives you a short list of the most used codes.

mental health cpt code cheat sheet

Out of thousands of possible CPT codes, mental health services only span 24 in total.   So use our behavioral health cpt code cheat sheet to pick the ones relevant to your situation.

Things can definitely get tricky when specifically coding for complex situations, out of business hours, in crisis, for extended sessions, for phone sessions or sessions in a variety of locations, and so forth.

We have offer mental health billing services exclusively for behavioral health providers.   Reach out to find out how we can offload this whole nightmare for you.

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Mental Health CPT Code Cheat Sheet Download

We created a CPT Code Cheat Cheat in PDF format for you:

Download the Mental Health CPT Code Cheat Sheet here!

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Our Definitive Guide to Mental Health CPT Codes

Take your expertise to the next level by reviewing our Definitive Guide to Mental Health CPT codes.

mental health cpt code download

The most common CPT Codes used by Mental Health Therapists:

Intake CPT Codes:

● 90791 ­ Psychiatric Diagnostic Evaluation (usually just one/client is covered)
● 90792 ­ Psychiatric Diagnostic Evaluation with medical services (usually just one/client is covered)

Therapy CPT Codes:

● 90832 ­ Psychotherapy, 30 minutes (16­-37 minutes).
● 90834 ­ Psychotherapy, 45 minutes (38­-52 minutes).
● 90837 ­ Psychotherapy, 60 minutes (53 minutes and over).
● 90846 ­ Family or couples psychotherapy, without patient present.
● 90847 ­ Family or couples psychotherapy, with patient present.
● 90853 ­ Group Psychotherapy (not family).

Crisis:

● 90839 ­ Psychotherapy for crisis, 60 minutes (30-­74 minutes).
● +90840 ­ Add­on code for an additional 30 minutes (75 minutes and over). Used in conjunction with 90839.

Extended Time Codes

These codes require billing with add-on CPT codes.  If you’re struggling with add-on codes, consider reach out, we can help.

Individual Therapy CPT CodeAdd-On CPT Code for Extended SessionLength of SessionServices Rendered
9083216-37 minutesPsychotherapy, 30 minutes
9083438-52 minutesPsychotherapy, 45 minutes
9083753 - 89 minutesPsychotherapy, 60 minutes
908379935490-134 minutesPsychotherapy, 1:30 hrs - 2:14 hrs
9083799354
99355
135-164 minutesPsychotherapy, 2:15 hrs - 2:44 hrs
9083799354
99355
99355
165-194 minutesPsychotherapy, 2:45 hrs - 3:14 hrs
90832
90834
90837
99050N/aServices performed outside of business hours.
90832
90834
90837
99051N/aPlanned services performed in the evening, weekend, or during a holiday.

CPT Code Reimbursement Rates

These rates are for Medicare and do not represent a guarantee of payment from any company, rather this is public data published by CMS.gov annotating a national rate schedule for mental health CPT codes.

CPT CodeDescriptionMedicare Reimbursement Rate 2020Medicare Reimbursement Rate 2021Medicare Reimbursement Rate 2022
90791Psychological Diagnostic Evaluation$140.19$180.75$195.46
90792Psychological Diagnostic Evaluation with Medication Management$157.49$201.68$218.90
90832Individual Psychotherapy, 30 Minutes$68.47$77.81$85.07
90833Individual Psychotherapy with Evaluation and Management Services, 30 minutes$71.00$71.18$77.88
90834Individual Psychotherapy, 45 Minutes$91.18$103.28$112.29
90836Individual Psychotherapy with Evaluation and Management Services, 45 minutes$89.74$90.02$98.30
90837Individual Psychotherapy, 60 Minutes$136.95$152.48$164.84
90838Individual Psychotherapy with Evaluation and Management Services, 60 minutes$118.57$119.33$129.30
90839Individual Crisis Psychotherapy initial 60 min$157.66
90840Individual Crisis Psychotherapy initial 60 min, each additional 30 min$78.64
99201Evaluation and Management Services, Outpatient, New Patient$46.49Not CoveredNot covered
99202Evaluation and Management Services, Outpatient, New Patient$77.48$73.97$80.91
99203Evaluation and Management Services, Outpatient, New Patient$109.92$113.75$124.39
99204Evaluation and Management Services, Outpatient, New Patient$166.86$169.93$185.26
99205Evaluation and Management Services, Outpatient, New Patient$209.75$224.36$244.99
99211Evaluation and Management Services, Outpatient, Established Patient$23.07$23.03$25.71
99212Evaluation and Management Services, Outpatient, Established Patient$45.77$56.88$62.76
99213Evaluation and Management Services, Outpatient, Established Patient$75.32$92.47$100.57
99214Evaluation and Management Services, Outpatient, Established Patient$110.28$131.20$141.78
99215Evaluation and Management Services, Outpatient, Established Patient$147.76$183.19$200.00
99354Prolonged Services$132.26 $132.09$140.26
99355Prolong Services with E/M$100.91$100.33$101.32
90846Family psychotherapy without patient, 50 minutes$103.58$99.10$107.37
90847Family psychotherapy with patient, 50 minutes$107.19$102.59$111.15
96105Assessment of aphasia and cognitive performance$101.54$109.26
96112Developmental testing administration by a physician or qualified health care professional, 1st hr$131.55$141.02
96113Developmental testing administration by a physician or qualified health care professional, each additional hour$58.62$66.54
96116Neurobehavioral status exam performed by a physician or qualified health professional, first hour$97.00$104.73
96121Neurobehavioral status exam performed by a physician or qualified health professional, additional hour$82.35$87.34
96125Standardized cognitive performance test administered by health care professional$107.12$115.69
96127Brief emotional and behavioral assessment$4.89$5.29
96130Psychological testing and evaluation by a physician or qualified health care professional, first hour$120.73$132.70
96131Psychological testing and evaluation by a physician or qualified health care professional, each additional hour$91.42$98.68
96132Neuropsychological testing and evaluation by a physician or qualified health care professional, first hour$133.29$144.80
96133Neuropsychological testing and evaluation by a physician or qualified health care professional, each additional hour$103.98$112.29
96136Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, first hour$46.76$49.15
96137Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, each additional hour$41.87$44.24
96138Neuropsychological or psychological test administration and scoring by a technician, first hour$37.34$38.56
96139Neuropsychological or psychological test administration and scoring by a technician, each additional hour$37.34$$39.32

3 Comments

  1. Tamara G. Suttle October 16, 2014 at 6:08 am #

    Thanks so much, Denny, for sharing this with your readers and mine, too!

    Reply

  2. Ben September 28, 2017 at 11:06 am #

    Im a psychologist here in LA. Most of my sessions are 55-1 hour. Medicare I was told will likely audit if we bill 90837 vs 45 minute code is that true in your experience? so even though I have only 4 medicare patients I dont bill 90837 even though the sessions suit that code because I dont want the hassle of getting audited. Please advise, would be much appreciated.

    Reply

    • Denny June 20, 2018 at 11:44 am #

      That is not true based on our experience. Best to always bill the most accurate CPT code and diagnosis no matter what as that is what prevents fraudulent billing and will help you IF there were to ever be an audit. But no, we’ve never had any audit issues with 90837.

      Reply

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