Billing Codes
These are the billing codes mentioned in the FAQ section "Do you accept insurance?" (go there to link to this page in the future). They are commonly used codes to bill for psychiatric services. If you are calling your insurance company to find out about reimbursement, ask what is the maximum coverage amount (sometimes called the “UCR,” or “usual and customary rate”) for the boldfaced codes. You may want to call and ask me for my Federal Tax ID before calling your insurer, as they will occasionally ask for it.
Evaluation codes
90792 – Initial evaluation
Medication check codes
99212 – Medication check, straightforward
99213 – Medication check, low complexity
99214 – Medication check, medium complexity
99215 – Medication check, high complexity
“Add-on” codes that are used in conjunction with the above medication check codes
90833 – plus psychotherapy, 16-37 mins
90836 – plus psychotherapy, 38-52 mins
90838 – plus psychotherapy, >52 mins
Psychotherapy codes
90832 – Psychotherapy (no medication), 16-37 mins
90834 – Psychotherapy (no medication), 38-52 mins
90837 – Psychotherapy (no medication), > 52 mins
90846 – For children: Family psychotherapy, patient not present
90847 – For children: Family psychotherapy
Miscellaneous codes
90885 – Records review
90887 – Communication with treatment team
90889 – Report preparation
90899 – Unlisted service
Evaluation codes
90792 – Initial evaluation
Medication check codes
99212 – Medication check, straightforward
99213 – Medication check, low complexity
99214 – Medication check, medium complexity
99215 – Medication check, high complexity
“Add-on” codes that are used in conjunction with the above medication check codes
90833 – plus psychotherapy, 16-37 mins
90836 – plus psychotherapy, 38-52 mins
90838 – plus psychotherapy, >52 mins
Psychotherapy codes
90832 – Psychotherapy (no medication), 16-37 mins
90834 – Psychotherapy (no medication), 38-52 mins
90837 – Psychotherapy (no medication), > 52 mins
90846 – For children: Family psychotherapy, patient not present
90847 – For children: Family psychotherapy
Miscellaneous codes
90885 – Records review
90887 – Communication with treatment team
90889 – Report preparation
90899 – Unlisted service
Michael Swetye, MD -- Adult, Adolescent, and Child Psychiatry in San Francisco -- Phone (415) 942-8589 -- Fax (415) 715-9555 © 2015