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.
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.
Mental Health CPT Code Cheat Sheet Download
We created a CPT Code Cheat Cheat in PDF format for you:
Consider Outsourcing Your Insurance Billing
We translate the gibberish that is medical billing into English for you. We do your eligibility and benefit verification phone calls to figure out if you can see the new client that you want to see. You don’t have time for that call. We are very good at that call.
We do all of your claims submission, follow up, appeals, rejections, fixing, refiling, and EOB accounting / payment accounting as well.
Statements, a calendar, send your clients text or email appointment reminders, and more are included.
Learn how you can offload your billing headache with our mental health insurance billing service. (You can track cash clients as well, for free of course).
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.
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).
● 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 Code||Add-On CPT Code for Extended Session||Length of Session||Services Rendered|
|90832||16-37 minutes||Psychotherapy, 30 minutes|
|90834||38-52 minutes||Psychotherapy, 45 minutes|
|90837||53 - 89 minutes||Psychotherapy, 60 minutes|
|90837||99354||90-134 minutes||Psychotherapy, 1:30 hrs - 2:14 hrs|
|135-164 minutes||Psychotherapy, 2:15 hrs - 2:44 hrs|
|165-194 minutes||Psychotherapy, 2:45 hrs - 3:14 hrs|
|99050||N/a||Services performed outside of business hours.|
|99051||N/a||Planned 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 Code||Description||Medicare Reimbursement Rate 2020||Medicare Reimbursement Rate 2021||Medicare Reimbursement Rate 2022|
|90791||Psychological Diagnostic Evaluation||$140.19||$180.75||$195.46|
|90792||Psychological Diagnostic Evaluation with Medication Management||$157.49||$201.68||$218.90|
|90832||Individual Psychotherapy, 30 Minutes||$68.47||$77.81||$85.07|
|90833||Individual Psychotherapy with Evaluation and Management Services, 30 minutes||$71.00||$71.18||$77.88|
|90834||Individual Psychotherapy, 45 Minutes||$91.18||$103.28||$112.29|
|90836||Individual Psychotherapy with Evaluation and Management Services, 45 minutes||$89.74||$90.02||$98.30|
|90837||Individual Psychotherapy, 60 Minutes||$136.95||$152.48||$164.84|
|90838||Individual Psychotherapy with Evaluation and Management Services, 60 minutes||$118.57||$119.33||$129.30|
|90839||Individual Crisis Psychotherapy initial 60 min||$157.66|
|90840||Individual Crisis Psychotherapy initial 60 min, each additional 30 min||$78.64|
|99201||Evaluation and Management Services, Outpatient, New Patient||$46.49||Not Covered||Not covered|
|99202||Evaluation and Management Services, Outpatient, New Patient||$77.48||$73.97||$80.91|
|99203||Evaluation and Management Services, Outpatient, New Patient||$109.92||$113.75||$124.39|
|99204||Evaluation and Management Services, Outpatient, New Patient||$166.86||$169.93||$185.26|
|99205||Evaluation and Management Services, Outpatient, New Patient||$209.75||$224.36||$244.99|
|99211||Evaluation and Management Services, Outpatient, Established Patient||$23.07||$23.03||$25.71|
|99212||Evaluation and Management Services, Outpatient, Established Patient||$45.77||$56.88||$62.76|
|99213||Evaluation and Management Services, Outpatient, Established Patient||$75.32||$92.47||$100.57|
|99214||Evaluation and Management Services, Outpatient, Established Patient||$110.28||$131.20||$141.78|
|99215||Evaluation and Management Services, Outpatient, Established Patient||$147.76||$183.19||$200.00|
|99355||Prolong Services with E/M||$100.91||$100.33||$101.32|
|90846||Family psychotherapy without patient, 50 minutes||$103.58||$99.10||$107.37|
|90847||Family psychotherapy with patient, 50 minutes||$107.19||$102.59||$111.15|
|96105||Assessment of aphasia and cognitive performance||$101.54||$109.26|
|96112||Developmental testing administration by a physician or qualified health care professional, 1st hr||$131.55||$141.02|
|96113||Developmental testing administration by a physician or qualified health care professional, each additional hour||$58.62||$66.54|
|96116||Neurobehavioral status exam performed by a physician or qualified health professional, first hour||$97.00||$104.73|
|96121||Neurobehavioral status exam performed by a physician or qualified health professional, additional hour||$82.35||$87.34|
|96125||Standardized cognitive performance test administered by health care professional||$107.12||$115.69|
|96127||Brief emotional and behavioral assessment||$4.89||$5.29|
|96130||Psychological testing and evaluation by a physician or qualified health care professional, first hour||$120.73||$132.70|
|96131||Psychological testing and evaluation by a physician or qualified health care professional, each additional hour||$91.42||$98.68|
|96132||Neuropsychological testing and evaluation by a physician or qualified health care professional, first hour||$133.29||$144.80|
|96133||Neuropsychological testing and evaluation by a physician or qualified health care professional, each additional hour||$103.98||$112.29|
|96136||Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, first hour||$46.76||$49.15|
|96137||Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, each additional hour||$41.87||$44.24|
|96138||Neuropsychological or psychological test administration and scoring by a technician, first hour||$37.34||$38.56|
|96139||Neuropsychological or psychological test administration and scoring by a technician, each additional hour||$37.34||$$39.32|