Maximize your behavioral health practice revenue with specialized billing expertise in psychotherapy services, telehealth coding, and psychiatric medication management. Our certified mental health billing specialists understand time-based CPT codes, crisis intervention billing, and HIPAA-compliant documentation requirements unique to behavioral health services.
We built a division that does nothing else. Certified behavioral health coders, carve-out expertise, real-time telehealth modifier tracking, and a clear promise: your first-pass rate improves or you do not pay.
Every type of behavioral health practice — whether you are a solo LCSW or a 20-clinician group, we have a billing workflow built around how you practice.
LCSWs, LPCs, MFTs, and psychologists tired of spending Friday afternoons fighting claim denials instead of finishing session notes.
Multi-clinician practices where every provider bills differently — and where one credentialing gap can freeze an entire panel.
Prescribers who split sessions between medication management and psychotherapy and need the E/M plus add-on codes billed correctly every time.
Fully virtual practices navigating different modifier, POS code, and payer requirements that change by state and payer.
Behavioral health practices face unique billing complexities with time-based coding, telehealth requirements, and heightened confidentiality standards.
Psychotherapy and psychiatric services require precise time tracking with specific CPT codes based on session duration (30, 45, 60 minutes).
Virtual mental health services have specific modifier requirements and varying state regulations for reimbursement.
Behavioral health benefits are often carved out to separate insurance entities with different billing rules than medical insurance.
Mental health records require heightened privacy protections with specific rules about what can be shared in billing documentation.
Therapists joining insurance panels face complex credentialing, paneling, and re-credentialing processes that affect billing eligibility.
Certain behavioral health services including intensive outpatient programs require prior authorization with specific clinical criteria.
| Code | Description | Time | Billing Notes |
|---|---|---|---|
| 90837 | Psychotherapy, 60 minutes | 53–60 min | Highest-paying individual therapy code. Document precise session time in record |
| 90834 | Psychotherapy, 45 minutes | 38–52 min | Mid-range individual therapy. Frequently downcoded — document exact minutes |
| 90832 | Psychotherapy, 30 minutes | 16–37 min | Shorter session. Often used with psychiatric E/M add-on codes |
| 90833 | Psychotherapy add-on, 30 min (with E/M) | 16–37 min | Add-on to E/M for psychiatrists. Cannot bill standalone |
| 90836 | Psychotherapy add-on, 45 min (with E/M) | 38–52 min | Used with 99212–99215 E/M codes by psychiatrists/NPs |
| 90791 | Psychiatric diagnostic evaluation | N/A | Initial evaluation — one per episode. Includes biopsychosocial assessment |
| 99213–99215 | E/M for established patient (psychiatric) | Varies | Use MDM-based coding under 2021 guidelines. Most psych visits qualify 99214–99215 |
| 90853 | Group psychotherapy | N/A | Per patient billing. Maximum group size varies by payer. Telehealth modifier applies |
CPT codes for reference only. Actual reimbursement varies by payer, region, and contract.
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