Psychiatry billing is not therapist billing. E/M visits with psychotherapy add-ons, medication management, evaluations with medical services, and TMS each carry same-visit rules payers audit closely. MedTaskly codes every combination correctly so your practice is paid fully and fast.
Book Free RCM AuditPsychiatry billing combines medical evaluation and management with psychotherapy in one visit, which therapist billing never does. A psychiatrist bills an E/M code (99212-99215) plus a psychotherapy add-on (90833, 90836, or 90838) selected by therapy time alone, and initial evaluations with medical services use 90792. Correct pairing and documentation of both components is what determines payment.
The add-on codes are where psychiatry practices under-collect.
Psychiatric visits are two services in one: the medical evaluation and management of medication, and the psychotherapy delivered in the same session. Payers require the E/M level (99212-99215) to be chosen by medical decision making, while the psychotherapy add-on (90833, 90836, or 90838) is chosen by therapy time, documented separately. Practices that bill only one component, or select the add-on by total visit time, leave money on the table at nearly every encounter or invite audits.
Initial evaluations bring their own rules: 90792 covers a psychiatric diagnostic evaluation with medical services, distinct from the therapist's 90791. Add TMS (90867-90869), long-acting injectable administration, telepsychiatry place-of-service rules, and prior authorizations for newer medications, and psychiatry billing demands a specialist. MedTaskly's psychiatry billers maintain a 98% clean-claim rate, capturing both the medical and therapy components of every visit.