The Psychological Approach to Mental Health Billing
                     The Psychological Approach to Mental 
Health Billing
The prevalence of mental health disorders in the United States has been 
increasing over time. All segments of society have experienced 
increased mental stress and psychosocial well-being. In fact, 
psychiatrists are successfully diagnosing, treating, and preventing 
mental, emotional, and behavioral disorders using various techniques. 
Depending on the patient’s needs, treatments may include multiple 
forms of psychotherapy, medications, psychosocial interventions, and 
other modalities such as electroconvulsive therapy (ECT). 
While they strive to provide high-quality mental health care, submitting 
claims for reimbursement is a significant challenge because of the wide 
range of services available and the numerous mental health coding and 
billing rules and payer regulations. Collaboration with psychiatry or 
mental health billing companies can assist practitioners in filing accurate 
claims and receiving appropriate and timely payment. 
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The Psychological Approach to Mental 
Health Billing
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Psychological approach to mental health 
billing:
Challenges Involved:
Anxiety, bipolar disorder, depression, anorexia, schizophrenia, 
substance abuse, OCD, ADHD, and PTSD are all conditions treated by 
psychiatrists. However, billing and coding mental health services differ 
from billing and coding other medical conditions. That’s why mental 
health services encountered the following challenges while mental health 
billing and coding:  
Patients in a medical setting are billed for standard services such as 
laboratory tests, x-rays, and so on, which are nearly identical for all 
patients and vary only slightly in terms of time taken. 
Therapy, psychological testing, and medical treatments are all examples 
of mental health services. Insurers have specific rules regarding how 
they pay for different mental health services, making billing difficult.
Inpatient psychiatric care requires pre-authorization, which adds to the 
complexity of mental health billing.
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 Psychiatric Diagnostic Evaluation: 90791
Psychotherapy 
(As per time with the patient and/or family member)
90832: 30 minutes for sessions that run between 16 and 37 minutes
90834: 45 minutes for sessions that run between 38 and 52 minutes
90837: 60 minutes for sessions that run 53 minutes or more
90845: Psychoanalysis
90846: 50 minutes of family psychotherapy without the patient present 
90847: 50 minutes of family conjoint psychotherapy with the patient 
present 
90849: Multiple-family group psychotherapy 
90853: Group psychotherapy add on codes
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Correctly Use Mental Health CT Code 
Modifiers
Mental health therapists should use CPT code modifiers to report their 
license level and those that best describe their services. Examples of 
Modifiers are:
Synchronous Telehealth Services: Modifier 95
Synchronous Telehealth Services [Medicare]: Modifier GT
Significant, separately identifiable E/M service provided on the same day 
as the procedure or other service by the same physician: Modifier 25
Distinct Procedural Service: Modifier 59
When a provider encounters a patient in crisis: Modifier UT
Licensed Clinical Social Worker (LCSW): Modifier AJ
EAP or Employee Assistance Program Visits (EAP): Modifier HJ
Mental Health Program (MHP): Modifier HE
Doctorate Level or Clinical Psychologist (Ph.D. or PsyD): Modifier AH
Psychiatrist (MD): Modifier AF
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Need for Outsourcing!
The mental health billing process includes completing an intake 
assessment that covers all the information needed to manage the 
patient's psychological billing during the care process for insurance 
reimbursement. The documentation must also show that the care is 
medically reasonable and necessary. Before services are provided, you 
must verify insurance benefits to ensure that the patient has active 
coverage with the insurance company. This can be complicated as 
covered benefits differ between providers and insurance plans.
With all the complexities involved, it's clear that expert assistance would 
make mental health billing and coding much more manageable. Hiring 
a mental health billing outsourcing company such as 24/7 Medical 
Billing Services is a practical option to reduce the risk of denials and 
optimize reimbursement. At the same time, you focus on providing the 
psychological care your patients require.
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About Us
We are a medical billing company that offers ‘
24/7 Medical Billing Services’ and support physicians, hospitals, 
medical institutions and group practices with our end to end medical 
billing solutions. We help you earn more revenue with our quick and 
affordable services. Our customized Revenue Cycle Management 
(RCM) solutions allow physicians to attract additional revenue and 
reduce administrative burden or losses.
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Contact Us
Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA
 
Ohio
28405 Osborn Road, Cleveland, OH 4414030068
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax :  +1 888-502-0537
                          Email us: [email protected]
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