Mental Health CPT Codes 2025 - Complete Guide for Behavioral Health Billing

A professional work on the laptop search about the mental health cpt codes for smooth billing process.

Mental health services are important for patient well-being; however, billing errors can delay payments and disrupt practice workflow. Mental Health CPT Codes standardize how therapy sessions, psychiatric evaluations, and telehealth visits are billed, ensuring providers are accurately reimbursed.
Cures Medical Billing helps mental health professionals simplify billing. Avoid denials and achieve consistent cash flow through precise coding and transparent reporting.

Common Mental Health CPT Codes (2025 Update)

Psychiatric Diagnostic Evaluation

CPT Code

Description

90791

Psychiatric diagnostic evaluation (no medical services)

90792

Psychiatric diagnostic evaluation (with medical services)

These codes are typically used for a patient’s first visit and include a detailed assessment of mental health history, symptoms, and treatment planning.

Psychotherapy CPT Codes

CPT Code

Description

Typical Duration

90832

Psychotherapy, 30 minutes

16–37 minutes

90834

Psychotherapy, 45 minutes

38–52 minutes

90837

Psychotherapy, 60 minutes

53+ minutes

90846

Family psychotherapy (without patient present)

Variable

90847

Family psychotherapy (with patient present)

Variable

90849

Multiple-family group psychotherapy

Variable

Group and Interactive Therapy

CPT Code

Description

90853

Group psychotherapy (non-family group)

90875

Interactive complexity add-on for therapy sessions

These codes apply when therapists treat multiple patients simultaneously or manage sessions that require complex communication (e.g., with interpreters, for emotional distress).

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Medication Management & Evaluation Codes

CPT Code

Description

99202–99215

E/M visits for new or established patients

90863

Pharmacologic management during psychotherapy

Used mainly by psychiatrists and nurse practitioners managing mental health medications.

Telehealth Mental Health CPT Codes

Telehealth has revolutionized behavioral health care. Providers can bill virtual visits using these CPT codes:

  • 90791-95, 90792-95 – Initial psychiatric evaluations via telehealth
  • 90832-95, 90834-95, 90837-95 – Psychotherapy via telehealth (modifier 95)
  • 99441–99443 -Telephone E/M for follow-ups or short consultations

ICD-10-CM Cross-References for Mental Health CPT Codes

To ensure complete and compliant billing, CPT codes must align with the correct diagnosis codes. Here are common ICD-10-CM codes associated with behavioral health services:

ICD-10 Code

Diagnosis Description

F32.0

Major depressive disorder, single episode, mild

F32.1

Major depressive disorder, single episode, moderate

F33.1

Major depressive disorder, recurrent, moderate

F41.1

Generalized anxiety disorder

F41.9

Anxiety disorder, unspecified

F43.10

Post-traumatic stress disorder, unspecified

F31.9

Bipolar disorder, unspecified

F42

Obsessive-compulsive disorder

F50.9

Eating disorder, unspecified

F60.3

Borderline personality disorder

F90.0

ADHD, predominantly inattentive type

Correct pairing of CPT and ICD-10 codes is crucial for claim acceptance and payer compliance.

Billing Tips for Behavioral Health Providers

  • Document accurately: Include session duration, modality (in-person or virtual), and therapy type.
  • Use modifiers correctly: Add -95 for telehealth and -59 for distinct procedural services.
  • Stay updated: Payers frequently revise mental health coverage and CPT rules.
  • Track denials: Analyze claim patterns to identify recurring coding or authorization issues.
  • Partner with experts: Outsourcing to specialists like Cures Medical Billing ensures accuracy and timely reimbursements.

Telehealth Billing and Modifier -95

Telehealth services are now permanently covered for mental health, but specific rules apply.

  • Modifier -95 is used for synchronous (real-time) audio and video telehealth sessions (e.g., CPT 90834-95).
  • CMS has specific rules allowing audio-only psychotherapy (often using Modifier -93, or POS code 10 and the correct CPT code) when the patient is in their home and cannot/declines to use video. Consult the latest CMS Mental Health Billing Guidelines for Official Medicare rules for telehealth CPT codes, modifier 95, and Place of Service (POS) codes.

Avoiding the Denominator Problem: CPT vs. E/M

For practitioners who provide talk therapy and medical services (like psychiatrists), confusion often arises: When to use CPT 90833 vs E/M codes for medication management?

  • Psychotherapy Alone (9083X): Use 90832, 90834, or 90837 when the service is purely psychotherapy.
  • Psychotherapy with E/M (9083X + E/M Code): Use the add-on codes (90833, 90836, 90838) when a separately identifiable Evaluation and Management (E/M) service is also performed (e.g., medication review). Both the E/M service and the psychotherapy time must be documented separately.

How Cures Medical Billing Supports Mental Health Professionals

Cures Medical Billing provides nationwide RCM solutions customized for mental health providers, including psychiatrists, psychologists, therapists, and counseling centers.

We manage everything from claim submission and coding audits to AR recovery and payer communication, helping you focus on patient wellness instead of billing stress.

Why Behavioral Health Providers Choose Cures

  • Deep expertise in mental health and telepsychiatry billing
  • HIPAA-compliant systems for secure data handling
  • Transparent revenue analytics and performance tracking
  • Zero upfront cost and faster reimbursements
  • Dedicated account managers for ongoing support

Final Thoughts

From psychiatric evaluations to teletherapy sessions, every Mental Health CPT Code plays a critical role in maintaining accurate billing and supporting patient-centered care.
With Cures Medical Billing, behavioral health providers can achieve error-free claims and faster payments. And sustainable revenue growth, all while focusing on what truly matters. Improving patient lives.

Frequently Asked Questions (FAQs)

Use 90837 for a 60-minute psychotherapy session, whether in-person or via telehealth (add modifier 95).

Use 90791 if no medical services are provided and 90792 if the evaluation includes medication management.

Use 90846 (without patient) or 90847 (with patient present).

Yes, use the same psychotherapy codes with modifier 95 to indicate telehealth delivery.

We ensure every claim meets payer-specific rules, reduce denials through accurate coding, and streamline your revenue cycle for consistent growth.

Categorically. Billing CPT 72141 requires a documented medical necessity, like neck pain, numbness, disc disease, or nerve symptoms. The diagnosis must support the need for an MRI without contrast. Always link the code to a correct ICD-10 code.

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