Psychiatric Diagnostic Evaluations
Understanding CPT codes can be complex, but it is essential for ensuring accurate billing and insurance reimbursements at your practice. CPT Code 90791 is used to document psychiatric diagnostic evaluations and is among the most frequently used codes by licensed mental health professionals.
CPT Code 90719 Explained
Psychiatric diagnostic evaluations are often the initial sessions with a client, focusing on conducting a comprehensive diagnostic assessment without delivering medical services. Mental health professionals use these evaluations to gain a detailed understanding of a client's mental health. The primary goal of these sessions is to assess and understand the client's condition, rather than to provide treatment.
Key Information:
CPT Codes: Current Procedural Terminology codes are U.S. standardized codes, with each one representing a distinct medical service. This system ensures accurate billing and insurance reimbursements across the American healthcare system.
Evaluation Purpose: This code is used for initial diagnostic evaluations assessing a client's mental health status. It includes the gathering of a detailed mental health history, mental status examination, and recommendations for treatment.
Telehealth Modifier: If the evaluation is conducted via telehealth, add the appropriate telehealth modifier (90791-95) to indicate the service was provided virtually. Ensure that all telehealth criteria are met and properly documented.
Proper documentation: Be sure to provide thorough notes with this code, detailing the specifics of the session. Include information such as the topics discussed, the client's mental status, session start and stop times, and any other relevant details. Adhering to documentation guidelines is essential to prevent billing issues.