CPT Codes for Psychotherapy and Related Services

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CPT stands for Current Procedural Terminology. It is a medical code used in billing practices and by other accredited establishments to report the medical and diagnostic procedures and services of licensed healthcare professionals.

Psychotherapy CPT Codes

· 90791   Psychiatric Diagnostic Evaluation/Intake Session 

· 90832  Individual - 30 min

· 90834  Individual - 45 min

· 90837  Individual - 60 min

· 90846  Family/Couples, without patient present - 50 min

· 90847  Family/Couples, with patient present - 50 min

· 90853  Group Therapy (time varies)

· 90849  Multiple-family Group Therapy (time varies)

Direct (face-to-face) Prolonged Service CPT Codes

99354 & 99355 are add-on CPT codes that can be used for extended sessions with Psychotherapy CPT codes 90837 & 90847 in the following ways:

· Individual - 90 min and above: 

  90837 (60 min), followed by 99354 (30 - 74 min)

· Individual - 135 min and above: 

  90837 (60 min), followed by 99354 (30 - 74 min), and 99355 (ea. added 30 min)

· Family/Couples - 80 min and above: 

  90847 (50 min), followed by 99354 (30 - 74 min)

· Family/Couples - 125 minutes and above: 

  90847 (50 min), followed by 99354 (30 - 74 min), and 99355 (ea. added 30 min)

In-direct (non-face-to-face) Prolonged Service CPT Codes

In-direct prolonged service pertains to on-going client management needs that go beyond the usual time a provider would spend on this service—generally meaning anything above 15 minutes. However, the provider must meet over half of the minutes before this code is applicable—i.e., 31 minutes or more. Services may include review of medical records from a third party, care conferences, and filling out forms and drafting letters. These in-direct services must be in relation to a covered psychotherapy CPT code (i.e., individual or Couples/Family counseling), but may be performed either before, on, or after the face-to-face encounter. 

· 99358  Indirect Prolonged Service: 31 min and above

· 99359  Add-on Code: 76 min and above, for every addt’l 30 mins