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CPT Code Guide for Mental Health Services in 2013

Below is a reference table we have created to help explain the CPT code transitions for Diagnostic, Psychotherapy, Psychotherapy with Evaluation and Monitoring, Crisis, Family and Group CPT Codes and Psychiatric Pharmacologic Management CPT Codes.

Chart Legend

  • Deleted / Invalid Code & Valid 2013 Code
  • Dotted UnderlineHover over for additional information. – Hover for information.
  • (+) – Plus denotes code is not billed alone, but done so as add-on to another appropriate code.

Diagnostic CPT Codes

Diagnostic Interview 2012 Code Diagnostic Evaluation 2013 Code Report with (90875)
Diagnostic interview examination 90801 Diagnostic evaluation
(no medical)
90791This code is used for non-medical intake services. Documentation requirements are the same as for the 90801. When appropriate
Diagnostic evaluation
with medical
90792Use this code or the corresponding E/M new patient service code if medical services are also being provided
Interactive diagnostic interview examination Interactive is defined as emotions or behaviors by the patient or necessary family/caregivers that complicate information gathering or treatment planning, or the requirement of reporting and discussing a sentinel event, or the use of equipment needed to obtain necessary information and provide adequate treatment planning. 90802 Diagnostic evaluation
(no medical)
90791This code is used for non-medical intake services. Documentation requirements are the same as for the 90801. Yes
Diagnostic evaluation
with medical
90792Use this code or the corresponding E/M new patient service code if medical services are also being provided

Psychotherapy CPT Codes

Psychotherapy Codes are no longer location specific. These are the same codes for any location from which they are performed.

Individual Psychotherapy 2012 Code Psychotherapy (Time)Time is now defined following CPT rules of a midpoint. The midpoint to a code time or between two similar codes is the time used to determine which code is billed. The time ranges are those midpoint times. 2013 Code Report with (90875)
20-30 min 90804, 90816 30 (16-37) min 90832 When appropriate
45-50 min 90806, 90818 45 (38-52) min 90834
75-80 min 90808, 90821 60 (53+) min 90837
Interactive Individual Psychotherapy 2012 Code Psychotherapy 2013 Code Report with (90875)
20-30 min 90810, 90823 30 (16-37) min 90832 Yes
45-50 min 90812, 90826 45 (38-52) min 90834
75-80 min 90814, 90828 60 (53+) min 90837

Psychotherapy with Evaluation and Monitoring CPT Codes

Individual Psychotherapy with E/M 2012 Code Service 2013 Code Report with (90875)
20-30 min 90805, 90817 E/M plus
psychotherapy add-on
E/M code
and one of:+90833, +90836, and +90838 are all corresponding add-on codes to be used by medical providers. These correspond to the therapy codes above. They are to be used following the appropriate E/M code when psychotherapy is performed.


+90833
30 (16-37) min
+90836
45 (38-52) min
+90838
60 (53+) min
When Appropriate
45-50 min 90807, 90819
75-80 min 90809, 90822
Interactive individual psychotherapy with E/M 2012 Code Service 2013 Code Report with (90875)
20-30 min 90811, 90824 E/M plus
psychotherapy add-on
E/M code
and one of:+90833, +90836, and +90838 are all corresponding add-on codes to be used by medical providers. These correspond to the therapy codes above. They are to be used following the appropriate E/M code when psychotherapy is performed.


+90833
30 (16-37) min
+90836
45 (38-52) min
+90838
60 (53+) min
Yes
45-50 min 90813, 90827
75-80 min 90815, 90829

Crisis, Family and Group CPT Codes

Service 2012 Code Service 2013 Code Report with (90875)
Psychotherapy for crisis 9083960 minutes of crisis or urgent services are performed face to face time with the patient and/or family. Used for time between 31 and 75 minutes., +90840Billed as an add-on to 90839 for every 30 minutes in addition to the first hour (90839). Range of time is 16 to 37 minutes. No
Family psychotherapy 90846, 90847, 90849 Family psychotherapy 90846, 90847, 90849 No
Group psychotherapy 90853 Group psychotherapy 90853 When appropriate
Interactive group psychotherapy 90857 Yes

Psychiatric Pharmacologic Management CPT Codes

Service 2012 Code Service 2013 Code Report with (90875)
Pharmacologic management 90862 E/M E/M code No

Information for this guide was modified and based on this PDF (click for download) from the American Medical Association.
CPT® five-digit codes, descriptions, and other data only are copyright 2012 by the American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT®. CPT® is a registered trademark of the American Medical Association (AMA).