Procedure Codes

CPT and HCPCS context for behavioral health services — who may report each code, the documentation that supports it, unit and time rules, modifiers, and how payers evaluate it.

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CPT 90785: Interactive Complexity Add-OnCPT code 90785 covers interactive complexity in psychotherapy sessions. Add-on billing guidance and documentation tips for behavioral health providers.
CPT Code 90791: Diagnostic Evaluation Billing (2026)90791 billing guide — 2026 rates, 90791 vs 90792, frequency and authorization rules, and how facilities bill intakes (including H-code states).
90792 CPT Code (2026): Psych Eval + MedicalCPT code 90792 for psychiatric diagnostic evaluation with medical services. Billing guidance for behavioral health providers.
CPT Code 90832: Psychotherapy, 30 MinutesCPT code 90832 covers 30-minute individual psychotherapy sessions. Billing rates, documentation, and coding guidance for behavioral health providers.
90833 Psychotherapy Add-On (2026): 30 MinCPT code 90833 for 30-minute psychotherapy add-on with E&M services. Billing rates, documentation, and reimbursement tips for behavioral health clinics.
CPT Code 90834: 45-Minute Therapy Billing (2026)4 sources90834 billing guide — time range, 2026 reimbursement rates, 90834 vs 90837 selection, documentation, and facility billing rules.
90836 Psychotherapy Add-On (2026): 45 MinCPT code 90836 for 45-minute psychotherapy add-on with E&M services. Billing rates, documentation, and reimbursement tips for behavioral health clinics.
CPT Code 90837: 60-Minute Therapy Billing (2026)4 sources90837 billing guide — 2026 reimbursement rates, 90834 vs 90837, payer scrutiny of 60-minute sessions, documentation, and facility billing rules.
CPT Code 90838: Psychotherapy, 60 Min Add-OnCPT code 90838 for 60-minute psychotherapy add-on with E&M services. Billing rates, documentation, and reimbursement tips for behavioral health clinics.
CPT 90839: Crisis Psychotherapy Billing GuideCPT 90839 covers the first 60 minutes of crisis psychotherapy. Time rules, 90840 add-on units, documentation, same-day edits, and facility billing.
CPT 90840: Crisis Therapy, Addl 30 MinCPT code 90840 for additional 30 minutes of crisis psychotherapy. Add-on billing guidance for behavioral health providers.
CPT Code 90845: PsychoanalysisCPT code 90845 for psychoanalysis therapy. Billing rates, documentation requirements, and compliance for behavioral health providers.
CPT Code 90846: Family Therapy Billing (2026)4 sources90846 for family therapy without the patient present — 2026 rates, 90846 vs 90847, payer coverage variance, documentation, and facility scenarios.
CPT Code 90847: Family Therapy Billing Guide (2026)4 sources90847 billing for family therapy with the patient present — 2026 rates, 90846 vs 90847, documentation, modifiers, and facility billing scenarios.
CPT 90849: Multi-Family Group TherapyCPT code 90849 for multiple-family group psychotherapy. Billing and documentation guidance for behavioral health providers.
CPT Code 90853: Group PsychotherapyCPT code 90853 for group psychotherapy billing. Per-patient reimbursement rates, documentation requirements, and compliance for behavioral health.
CPT 90863: Pharmacologic Mgmt w/ TherapyCPT code 90863 for pharmacologic management with psychotherapy. Billing rates, documentation, and coding guidance for behavioral health providers.
CPT Code 90869: TMS Subsequent DeliveryCPT code 90869 for subsequent TMS treatment delivery and management. Billing rates, coverage, and reimbursement guidance for behavioral health clinics.
CPT 90870: Electroconvulsive TherapyCPT code 90870 for electroconvulsive therapy billing. Documentation, reimbursement, and compliance for behavioral health providers.
CPT Code 90875: Psychophysiological Therapy3 sourcesCPT code 90875 guide for psychophysiological therapy billing. Reimbursement rates, documentation requirements, and compliance best practices.
CPT 90876: Extended Biofeedback Therapy2 sourcesLearn how to bill CPT code 90876 for extended psychophysiological therapy sessions. Covers reimbursement rates, documentation, and compliance requirements.
CPT 90887: Psychiatric Results Review3 sourcesGuide to CPT code 90887 for billing interpretation and explanation of psychiatric diagnostic results to family members or other responsible persons.
CPT 90899: Unlisted Psychiatric Services3 sourcesMaster CPT code 90899 for billing unlisted psychiatric services. Learn when to use this code, documentation requirements, and reimbursement best practices.
CPT Code 96116: Neurobehavioral Status Exam2 sourcesCPT code 96116 for neurobehavioral status exam billing. Clinical applications, reimbursement rates, and documentation requirements.
CPT 96121: Neurobehavioral Exam Add-On3 sourcesLearn how to bill CPT code 96121 for additional neurobehavioral status exam hours. Covers reimbursement, documentation requirements, and compliance tips.
CPT 96127: Brief Behavioral Assessment3 sourcesCPT code 96127 for brief emotional and behavioral assessment billing. Screening tools, reimbursement rates, and coding compliance.
CPT Code 96130 Billing Guide2 sourcesCPT code 96130 covers psychological testing evaluation services by a physician or qualified professional, first hour. Complete billing and compliance guide.
CPT Code 96131 Billing Guide1 sourceCPT code 96131 is the add-on code for psychological testing evaluation services, each additional hour. Complete billing guide with documentation requirements.
CPT Code 96136 Billing Guide1 sourceCPT code 96136 covers psychological or neuropsychological test administration and scoring by a qualified professional, first 30 minutes. Billing guide.
CPT Code 96137 Billing Guide4 sourcesCPT 96137 add-on code for psychological or neuropsychological test administration and scoring, each additional 30 minutes.
CPT Code 96138 Billing Guide3 sourcesCPT code 96138 covers psychological or neuropsychological test administration and scoring by a technician, two or more tests, first 30 minutes. Billing guide.
CPT Code 96139 Billing Guide2 sourcesCPT code 96139 is an add-on code for psychological or neuropsychological test administration and scoring by a technician, each additional 30 minutes.
CPT Code 96156 Billing Guide5 sourcesCPT code 96156 for health behavior assessment and reassessment billing. Clinical applications, reimbursement rates, and documentation requirements.
CPT Code 96164 Billing Guide5 sourcesCPT code 96164 for group health behavior intervention billing. Session requirements, reimbursement rates, documentation standards, and coding compliance.
CPT 96165: Group Health Intervention2 sourcesLearn how to bill CPT code 96165 for each additional 15 minutes of group health behavior intervention. Reimbursement rates, documentation, and compliance.
CPT 96372: Therapeutic Injection Billing2 sourcesGuide to CPT code 96372 for therapeutic subcutaneous and intramuscular injection billing. Covers reimbursement rates, documentation, and coding compliance.
CPT Code 99201: Deleted E&M Code GuideCPT code 99201 was deleted by CMS in 2021. Learn why this E&M code was removed and which new patient evaluation codes behavioral health providers should use.
CPT 99202: New Patient Visit, Simple MDMCPT code 99202 for new patient office visits with straightforward MDM. Billing rates, documentation tips, and behavioral health guidance.
99203 CPT Code (2026): New Patient, Low MDMCPT code 99203 for new patient office visits with low complexity MDM. Billing rates, documentation, and behavioral health use cases.
CPT Code 99204: New Patient, Moderate MDMCPT code 99204 for new patient visits with moderate complexity MDM. Reimbursement rates, documentation, and psychiatric evaluation guidance.
99205 CPT Code (2026): New Patient, High MDMCPT code 99205 for new patient visits with high complexity MDM. Reimbursement rates, documentation standards, and complex case billing.
CPT Code 99211: Minimal E&M Visit GuideCPT code 99211 for minimal office visits. May not require physician presence. Billing guidance for behavioral health providers.
99212 CPT Code (2026): Straightforward E/M5 sourcesWhen to bill 99212 — current MDM and time rules, 99212 vs 99213, 2026 reimbursement rates, and med-management billing in behavioral health.
CPT Code 99213: Low Complexity E&M VisitCPT code 99213 for low complexity office visits. The most commonly billed E&M code. Billing guidance for behavioral health providers.
99214 CPT Code (2026): Moderate MDM E/MCPT code 99214 for moderate complexity office visits. Documentation, MDM criteria, and billing guidance for behavioral health.
99215 CPT Code (2026): High-Complexity E/M6 sources99215 explained for billers and patients — current MDM and time rules, 99214 vs 99215, 2026 reimbursement rates, and audit-safe documentation.
CPT 99354 Is Deleted: What to Bill Instead (2026)99354 and 99355 were deleted. The replacement codes — G2212, 99417, 99418 — with time rules, payer differences, and how to fix legacy claims.
99355 CPT Code: Deleted — Use 99417/G2212CPT code 99355 was deleted in the CPT 2023 restructure. Learn the successor codes (99418 and G2212) and how to handle legacy claims.
CPT Code 99396: Preventive Visit, Established Patient 40-644 sources99396 for established patients 40-64 — what it covers, why Medicare pays G0438/G0439 instead, same-day E/M with modifier 25, and BH screening add-ons.
99406 CPT Code (2026): Smoking CessationCPT code 99406 for brief smoking and tobacco cessation counseling, 3-10 minutes. Billing guidance for behavioral health providers.
CPT Code 99407: Tobacco Cessation, >10 MinCPT code 99407 for intensive smoking and tobacco cessation counseling over 10 minutes. Billing guidance for behavioral health providers.
CPT Code 99408: SBIRT Screening, 15-30 MinCPT code 99408 for alcohol and substance abuse screening and brief intervention (SBIRT), 15-30 minutes. Billing for behavioral health.
CPT Code 99409: SBIRT Screening, >30 MinCPT code 99409 for extended alcohol and substance abuse screening and brief intervention (SBIRT), over 30 minutes. Behavioral health billing.
CPT 99484: Behavioral Health Integration5 sourcesCPT code 99484 for behavioral health integration care management. Service requirements, reimbursement rates, and documentation standards.
CPT 99492: Psychiatric Collaborative CareCPT code 99492 for initial psychiatric collaborative care management, first 70 minutes. Billing guidance for behavioral health providers.
CPT Code 99493 Billing Guide2 sourcesCPT code 99493 for subsequent month psychiatric collaborative care management, 60 minutes. Billing guidance for behavioral health providers.
CPT 99494: Additional Collaborative CareCPT code 99494 for each additional 30 minutes of psychiatric collaborative care management. Billing guidance for behavioral health providers.
AJ Modifier: Clinical Social Worker BillingWhat the AJ modifier means, which state Medicaid programs require it, how it affects reimbursement, and how facilities bill it correctly on claims.
CPT & HCPCS Billing Code ReferenceCPT and HCPCS billing codes for behavioral health services — documentation requirements, reimbursement guidance, and compliance best practices.
CPT Codes for Mental Health & Addiction5 sourcesComplete CPT and HCPCS code reference for mental health and addiction treatment billing — psychotherapy, assessment, E/M, H-codes, and modifiers.