Eligibility & Verification
Coverage checks before every visit.
Specialty Billing
Psychiatry Medical Billing
Psychiatric billing is built on time-based psychotherapy codes, evolving telehealth rules, and E/M add-ons. We apply the right codes and modifiers so sessions are reimbursed correctly across payers.
The Challenge
Psychiatry billing, solved
We understand the billing complexities unique to psychiatry and build them into every claim.
- Time-based psychotherapy coding
- Telehealth billing rules
- E/M with therapy add-on codes
What we focus on
- Psychotherapy time codes
- Telehealth modifiers & POS
- Medication management E/M
Coding Focus
Psychiatry code sets we work in
The CPT/HCPCS procedure families and ICD-10 diagnosis groups our certified coders handle for this specialty every day.
Common CPT / procedure codes
- 90832–90838Individual psychotherapy sessions billed by time
- 90791–90792Initial psychiatric diagnostic assessment encounters
- 99202–99215Office visits for medication management review
- 90839–90840Psychotherapy provided during an acute crisis
ICD-10 diagnosis focus
- F32–F33 major depressive disorder
- F40–F48 anxiety and stress-related disorders
- F10–F19 substance use disorders
- F90 / F20 ADHD and schizophrenia spectrum
Code references are shown as general identifiers for illustration. Actual code selection always follows current payer rules and your provider's documentation.
Clean Claims
Modifiers, denials & billing rules we manage
How our team keeps psychiatry claims compliant — the modifiers that matter, the denials we prevent, and the guidelines we follow.
Key modifiers
- 95
Marks a synchronous audio-video telehealth session with the patient.
- 93
Identifies a covered audio-only behavioral health encounter.
- GT
Used by certain payers still requiring the interactive telecommunication indicator.
- 25
Attached when a separate, significant medication visit accompanies therapy on the same day.
Common denials & fixes
Time-based therapy denied for undocumented duration.
Record explicit start-stop times or total minutes so the code's time threshold is verifiable.
Telehealth claim rejected for POS or modifier mismatch.
Align the place-of-service code and telehealth modifier with each payer's active policy.
E/M and psychotherapy add-on denied together.
Keep separate notes showing the distinct medication and therapy work performed.
Sessions denied for exceeding frequency limits.
Track visit counts and secure authorization before the plan's covered cap is reached.
Billing guidelines
- Document start and stop times or total minutes so time-based psychotherapy codes withstand audits.
- Match the telehealth place-of-service code to the correct modifier for each payer's current rules.
- When an E/M visit and psychotherapy add-on occur together, support both with distinct documentation.
- Monitor session-frequency limits and obtain authorization before exceeding a plan's covered visit count.
End-to-End
What we handle for Psychiatry
A complete revenue cycle service tailored to your specialty.
Specialty Coding
Certified, specialty-trained coders.
Charge Entry & Claims
Clean, accurate claim submission.
Payment Posting
ERA/EOB posting and reconciliation.
Denial & AR Management
Appeals and aggressive AR recovery.
Reporting & Analytics
Real-time KPIs and insights.
98%
Clean claim rate
30%
Average revenue lift
24/7
Operations coverage
HIPAA
Compliant processes
FAQ
Psychiatry billing — FAQs
Yes — our certified coders are trained on specialty-specific rules, code sets, and payer policies, and we assign coders with experience in your specialty.
We work in your current practice management system and EHR, so your workflows and reporting stay intact while we handle the billing.
Through accurate specialty coding, front-end eligibility checks, clean claim submission, and relentless denial and AR follow-up — typically lifting first-pass acceptance and net collections.
Always. We use strict access controls, encryption, signed BAAs, and audit trails to protect patient data.
More Specialties
Other specialties we bill for
Ready to maximize your revenue and scale operations?
Book a free consultation and we'll map out a tailored medical billing and BPO solution for your organization.