The CPT code for couples therapy is most often 90847, the code for family or conjoint psychotherapy when the patient is present. When the couple work happens without the identified patient
Read More
A biller preparing a Medicaid claim for a new-patient mental health assessment will often reach for H0031, then pause at a familiar question: is this a CPT code? Search engines are
Read More
Medicaid is the single largest payer of mental health and substance use treatment in the United States, according to an August 2025 Milbank Quarterly opinion piece by Emma McGinty and Magdalena
Read More
A therapist who sees 25 clients a week files roughly 1,300 claims a year. Multiply that across a five-clinician group and the practice is reconciling more than 6,000 payment decisions annually,
Read MoreFor decades, the list of clinicians who could bill Medicare for mental health services was short and stable: physicians, clinical psychologists, clinical social workers, and a handful of advanced practice clinicians.
Read More
Front desk staff hear a version of this question several times a shift: “I think I have insurance, but I’m not sure who it’s with.” Sometimes the patient lost their card.
Read More
Plenty of billing blogs told providers that CPT code 99493 was deleted for 2026 and that any claim carrying it would be denied. That is wrong. The code that covers subsequent
Read More
Integrating mental health care into primary medical settings requires accurate reporting to ensure practices receive appropriate reimbursement. The 99484 CPT code allows healthcare organizations to bill for time spent managing and
Read More
CPT code 99205 sits at the top of the new patient office visit series, and it is one of the most closely watched codes a practice submits. It pays more than
Read More
Current procedural terminology (CPT) code 99204 identifies a moderate-level evaluation and management visit for a new patient in an office or outpatient setting. The American Medical Association revised the evaluation and
Read More
