Oct. 25, 2012 – As of Jan. 1, 2013 practitioners will need to use the new psychotherapy billing codes for Medicare and all insurance carriers. The following chart provides a crosswalk between the current (2012) psychotherapy codes and the corresponding new codes to be used in 2013. The list is intended to familiarize you with specific psychotherapy coding changes and will be helpful for updating your billing and claims processing systems.
Please use this code list, along with other resources found in the billing and coding section of the APA Practice Organization's Practice Central website, to help you prepare for psychotherapy services coding in 2013.
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2012 Code
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2013 Code(s)
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Diagnostic interview procedures
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90801, Psychiatric diagnostic interview examination
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90791, Psychiatric diagnostic evaluation
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Psychotherapy
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90804, outpatient psychotherapy 20-30 min
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90832, Psychotherapy, 30 minutes with patient and/or family member
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90806, outpatient psychotherapy 45-50 min
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90834, Psychotherapy, 45 minutes with patient and/or family member
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90808, outpatient psychotherapy 75-80 min
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90837, Psychotherapy, 60 minutes with patient and/or family member
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90845,* Psychoanalysis
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90845, Psychoanalysis
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90846,* Family psychotherapy without the patient present
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90846, Family psychotherapy without the patient present
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90847,* Family psychotherapy, conjoint psychotherapy with the patient present
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90847, Family psychotherapy, conjoint psychotherapy with the patient present
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90849,* Multiple-family group psychotherapy
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90849, Multiple-family group psychotherapy
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90853,* Group psychotherapy (other than of a multiple-family group)
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90853, Group psychotherapy (other than of a multiple-family group)
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Codes for interactive services
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90802, Interactive psychiatric diagnostic evaluation
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90791 plus interactive add-on code (90785)
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All current interactive psychotherapy services (90810 – 90815, 90823 – 90829)
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90785, Add-on code to be used in conjunction with appropriate psychotherapy code based on length of the session
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90857, Interactive group psychotherapy
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90853 plus interactive add-on code (90785)
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Psychotherapy for crisis
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| None | 90839, Psychotherapy for crisis, first 60 minutes |
| None |
90785, Add-on code to be used in conjunction with appropriate psychotherapy code based on length of the session
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Note: The 2013 CPT manual contains additional new codes for use by other qualified health care professionals, such as those eligible to use evaluation and management (E/M) codes. Examples: 90792, 90833, 90836, 90838.
Current Procedural Terminology® (CPT) copyright 2011 American Medical Association. All Rights Reserved.
Copies of the CPT manual can be ordered from the American Medical Association online or by calling toll-free, (800) 621-8335.