4) A new code “90839” has been designated for psychotherapy for a patient in crisis.

  • Add-on code for each additional 30 minutes beyond first 60 minutes (+90840).

5) Code “90862” has been eliminated and psychiatrists will use the appropriate E/M code when they do pharmacologic management for a patient.

If psychotherapy is done during the same session as pharmacologic management, use one of the new psychotherapy add-on codes, including:


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  • Psychologists in New Mexico and Louisiana (who can prescribe) but not for psychiatrists or other medical mental health providers (90863)
  • NOTE: “90863” is not to be used by those individuals who can bill E/M codes

According to the Final Rule for the 2013 Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services will finalize the Relative Value Units (RVUs) once all of the codes have been surveyed by the AMA RUC. This will most likely be in time for the 2014 Medicare Fee Schedule.3

For more information call (800) 621-8335 or visit www.psych.org/cptcodingchanges.

References

1. American Psychiatric Association. Overview of the 2013 Changes. http://www.psych.org/File%20Library/Practice/Managing%20a%20Practice/CPT/OverviewofcodechangesREV.pdf. Accessed May 15, 2013.

2. American Psychiatric Association. CPT Primer for Psychiatrists. http://www.psych.org/File%20Library/Practice/Managing%20a%20Practice/CPT/CPT-Primer-for-Psychiatrists-rev-02-13-2013.pdf. Accessed May 15, 2013.

3. American Psychiatric Association. FAQs on 2013 Coding Changes. http://www.psych.org/File%20Library/Practice/Managing%20a%20Practice/CPT/FAQs-Update-Apr5-v4.pdf. Revised April 5, 2013. Accessed May 15, 2013.