Code Changes for Mental Health Billing for 2013

As we all know change is a big part of the medical billing industry and next year is no exception. January 2013 will call for new CPT code changes for most mental health insurance claims. Many of our common codes including 90862, medication management and 90801 will change. According to the APA many insurance carriers are yet unaware of these changes so it will be interesting to see how this all pans out.

Almost all mental health codes will be changed with just a couple that will remain. According to the APA here are the most commonly used new codes.

New Code Old Code Description
90791 90801 Psychiatric diagnostic evaluation
90832 90804 Psychotherapy 30 minutes
90834 90806 Psychotherapy 45 minutes
90837 90808 Psychotherapy 60 minutes

The medical management code of 90862 will be totally abandoned in 2013 in lieu of E/M codes. At that time we will need to start using E/M codes of 99211 thru 99215 which are based on the complexity of the problem and the intensity of the examination involved.

Codes such as 90846, 90847 and 90853 will remain the same.

Overall this is a huge shift of coding for mental health professionals and we really haven’t heard a lot of talk about it. We are afraid that there are many mental health professionals who aren’t aware and will be taken by surprise. If you have questions or comments on this topic please visit our forum and post your thoughts.

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3 Responses to “Code Changes for Mental Health Billing for 2013”

  1. Claudia Shurtz Says:

    Thanks so much for this information. I have 3 mental health clients and was completely unaware of this change of codes.

  2. Jon Snow Says:

    Can you recommend any follow up reading?

  3. Midwest Medical Billing Service Says:

    Thats great, but will it affect medical bulling industry


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