Crosswalk of 2012 Psychotherapy CPT® Codes to 2013 Codes

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.

2012 Code

 

2013 Code(s)

 

Diagnostic interview procedures

 

90801, Psychiatric diagnostic interview examination

 

90791, Psychiatric diagnostic evaluation

 

Psychotherapy

 

90804, outpatient psychotherapy 20-30 min
90816, inpatient psychotherapy 20-30 min

 

90832, Psychotherapy, 30 minutes with patient and/or family member

 

90806, outpatient psychotherapy 45-50 min
90818, inpatient psychotherapy 45-50 min

 

90834, Psychotherapy, 45 minutes with patient and/or family member

 

90808, outpatient psychotherapy 75-80 min
90821, inpatient psychotherapy 75-80 min

 

90837, Psychotherapy, 60 minutes with patient and/or family member

 

90845,* Psychoanalysis

 

90845, Psychoanalysis

 

90846,* Family psychotherapy without the patient present

 

90846, Family psychotherapy without the patient present

 

90847,* Family psychotherapy, conjoint psychotherapy with the patient present

 

90847, Family psychotherapy, conjoint psychotherapy with the patient present

 

90849,* Multiple-family group psychotherapy

 

90849, Multiple-family group psychotherapy

 

90853,* Group psychotherapy (other than of a multiple-family group)

 

90853, Group psychotherapy (other than of a multiple-family group)

 

Codes for interactive services

 

90802, Interactive psychiatric diagnostic evaluation

 

90791 plus interactive add-on code (90785)

 

All current interactive psychotherapy services (90810 – 90815, 90823 – 90829)

 

90785, Add-on code to be used in conjunction with appropriate psychotherapy code based on length of the session

 

90857, Interactive group psychotherapy

 

90853 plus interactive add-on code (90785)

 

Psychotherapy for crisis

 

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

 

Pharmacologic management add-on code

 

90862, Pharmacologic management, including prescription, use and review of medication with no more than minimal medical psychotherapy

 

90863, Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services; used only as add-on to principal psychotherapy code (90832, 90834, 90837)

 

 

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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.