CPT Codes for Behavioral Health
Current Procedural Terminology (CPT) codes used to bill behavioral health services including individual and group therapy, psychological testing, and psychiatric evaluations.
CPT Code 90785: Interactive Complexity Add-on | Scriber
CPT 90785 — interactive complexity add-on for psychiatric/psychological services. When to use, documentation, reimbursement, and how Scriber captures complexity factors.
CPT Code 90791 with Modifier 25: Significant Separately Identifiable Service | Scriber
CPT 90791 with modifier 25 — psychiatric evaluation when a significant separately identifiable E&M service is provided on the same date. Documentation, reimbursement, and billing rules.
CPT Code 90791: Psychiatric Diagnostic Evaluation | Scriber
CPT 90791 — psychiatric diagnostic evaluation without medical services. Description, when to use, documentation, reimbursement, and how Scriber generates compliant notes.
CPT Code 90792: Psychiatric Diagnostic Evaluation with Medical Services | Scriber
CPT 90792 — psychiatric diagnostic evaluation with medical services. Complete evaluation including physical exam, vitals, labs, and mental status assessment.
CPT Code 90832: Psychotherapy 30 Minutes | Scriber
CPT 90832 — psychotherapy for 30 minutes, face-to-face with patient. Reimbursement, documentation, time tracking, and how Scriber captures note-worthy content.
CPT Code 90834: Psychotherapy 45 Minutes | Scriber
CPT 90834 — psychotherapy for 45 minutes, face-to-face with patient. Standard therapy code, documentation requirements, time tracking, and billing best practices.
CPT Code 90837: Psychotherapy 60 Minutes | Scriber
CPT 90837 — psychotherapy for 60 minutes, face-to-face with patient. Extended sessions, documentation, time tracking, and medical necessity considerations.
CPT 90839: Crisis Psychotherapy, 60 Minutes
CPT code 90839 covers crisis psychotherapy services for a patient in acute psychological distress or at imminent risk of crisis. Requires careful documentation of crisis criteria and cannot be billed concurrently with standard psychotherapy.
CPT 90840: Crisis Psychotherapy Add-On, Additional 30 Min
CPT code 90840 covers each additional 30-minute increment of crisis psychotherapy beyond the first 60 minutes (CPT 90839). Add-on code for extended crisis interventions.
CPT Code 90846: Family Psychotherapy Without Patient | Scriber
CPT 90846 — family psychotherapy conducted without the identified patient present. Documentation, when to use, reimbursement, and billing best practices.
CPT Code 90847: Family Psychotherapy With Patient | Scriber
CPT 90847 — family therapy with the identified patient present. When to use, documentation, time tracking, reimbursement, and billing best practices.
CPT 90849: Multiple-Family Group Psychotherapy
CPT code 90849 covers psychotherapy services provided to multiple families in a group setting, addressing family dynamics, communication patterns, and shared treatment goals.
CPT Code 90853: Group Psychotherapy | Scriber
CPT 90853 — group psychotherapy session. When to use, group composition, documentation, reimbursement, and billing best practices for group therapy.
CPT Code 96130: Psychological Testing, First Hour | Scriber
CPT 96130 — psychological and neuropsychological testing evaluation, first hour. When to use, documentation, interpretation, and billing best practices.
CPT Code 96131: Psychological Testing, Additional Hour | Scriber
CPT 96131 — psychological testing evaluation, each additional hour beyond the first. Billing, time tracking, comprehensive testing batteries, and documentation requirements.
CPT 96136: Psychological/Neuropsychological Test Administration (First 30 Min)
CPT code 96136 covers the first 30 minutes of psychological or neuropsychological test administration and scoring by a technician or clinician.
CPT 96137: Psychological/Neuropsychological Test Administration, Additional 30 Min
CPT code 96137 covers each additional 30-minute increment of psychological or neuropsychological test administration beyond the first 30 minutes (CPT 96136).
CPT 99213: E&M Established Patient, 20–29 Min, Level 3
CPT code 99213 represents an established patient office visit with moderate medical decision-making and 20–29 minutes of total time. Post-2021 revisions allow time-based selection as an alternative to MDM.
CPT 99214: E&M Established Patient, 30–39 Min, Level 4
CPT code 99214 represents an established patient office visit with high medical decision-making or 30–39 minutes of total time. Post-2021 revisions allow time-based selection as the primary coding criterion.
CPT 99215: E&M Established Patient, 40–54 Min, Level 5
CPT code 99215 represents an established patient office visit with the highest complexity, 40–54 minutes of total time, or high medical decision-making. Post-2021 guidelines make time-based selection the default.
CPT 99354: Prolonged Outpatient Service Add-On, First Hour (Largely Replaced by CPT 99417)
CPT code 99354 covers the first hour of prolonged outpatient evaluation and management services beyond the primary E&M code. Note: CPT 99417, introduced in 2021, has largely replaced 99354 in most payer mixes.
CPT Code 99358: Prolonged Service Without Face-to-Face, First Hour | Scriber
CPT 99358 — prolonged clinical service without direct patient contact, first hour. Care coordination, care planning, and documentation time in behavioral health.
CPT Code 99359: Prolonged Service Without Face-to-Face, Additional 30 Minutes | Scriber
CPT 99359 — prolonged service without face-to-face contact, each additional 30 minutes after the first hour. Used with 99358 for extended care coordination and documentation.
CPT Code 99417: Prolonged Service Add-on, 15-Minute Increments | Scriber
CPT 99417 — prolonged office visit service in 15-minute increments. When to use with psychiatric/psychotherapy visits, reimbursement, and documentation requirements.
CPT 99417: Prolonged Outpatient E&M Services, Each 15 Min After Primary
CPT code 99417 covers each 15-minute increment of prolonged outpatient evaluation and management services beyond 29 minutes of total visit time. Introduced in 2021 as the standard prolonged service code.
F40.10 Social Anxiety Disorder, Unspecified | ICD-10 Reference
ICD-10 F40.10 documentation guide: social anxiety disorder without generalized specifier. DSM-5-TR criteria, clinical documentation, reimbursement notes, and when to use.
F41.0 Panic Disorder | ICD-10 Reference
ICD-10 F41.0 documentation guide: panic disorder with and without agoraphobia. DSM-5-TR criteria, panic attack documentation, clinical features, reimbursement, and Scriber integration.
F41.1 Generalized Anxiety Disorder | ICD-10 Reference
ICD-10 F41.1 documentation guide: generalized anxiety disorder (GAD). DSM-5-TR criteria, worry domains, functional impact, reimbursement, and clinical documentation standards.
F41.9 Anxiety Disorder, Unspecified | ICD-10 Reference
ICD-10 F41.9 documentation guide: anxiety disorder not otherwise specified. When to use F41.9, relationship to specific anxiety codes, reimbursement considerations, and clinical documentation.
F42.2 Mixed Obsessional Thoughts and Acts | ICD-10 Reference
ICD-10 F42.2 documentation guide: obsessive-compulsive disorder with both obsessions and compulsions. DSM-5-TR criteria, functional impact, current code restructuring, and clinical documentation.
F43.10 Post-Traumatic Stress Disorder, Unspecified | ICD-10 Reference
ICD-10 F43.10 documentation guide: PTSD without acute or chronic specifier. DSM-5-TR criteria, trauma exposure, re-experiencing and avoidance, functional impact, and documentation standards.
F43.11 Post-Traumatic Stress Disorder, Acute | ICD-10 Reference
ICD-10 F43.11 documentation guide: PTSD with acute onset (≤3 months post-trauma). DSM-5-TR criteria, early PTSD intervention, prognosis, and clinical documentation standards.
F43.12 Post-Traumatic Stress Disorder, Chronic | ICD-10 Reference
ICD-10 F43.12 documentation guide: PTSD with chronic onset (>3 months post-trauma or >3 months duration). Clinical features, delayed PTSD, long-term management, and documentation standards.
F43.20 Adjustment Disorder, Unspecified | ICD-10 Reference
ICD-10 F43.20 documentation guide: adjustment disorder without specified emotional features. DSM-5-TR criteria, stressor identification, adjustment vs. PTSD, and clinical documentation standards.
F43.21 Adjustment Disorder with Depressed Mood | ICD-10 Reference
ICD-10 F43.21 documentation guide: adjustment disorder with prominent depressed mood in response to stressor. DSM-5-TR criteria, stressor link, vs. major depression, and clinical documentation.
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