Psychiatry Billing That Captures Every Session, Every Code

Time-based E/M coding, psychotherapy add-ons, telehealth modifiers, and behavioral health carve-outs all require specialty billing expertise. CureMed handles the nuances so you get paid for the full value of every session.

CureMed psychiatry billing services illustration

Psychiatry Billing by the Numbers

Measurable outcomes from psychiatry practices using CureMed for their billing and coding.

95%
35%
24%
18

Why Psychiatry Billing Needs Specialized Expertise

Psychiatric practices deal with time-based coding, split billing rules, carve-out routing, and payer restrictions that general billing companies consistently get wrong.

30%

of psychiatry claims are denied on first submission due to time-based coding errors, missing psychotherapy add-on codes, or incorrect carve-out payer routing.

AAPC
$95K+

in average annual revenue lost per psychiatrist from undercoded therapy sessions, missing medication management add-ons, and unbilled crisis services.

42%

of psychiatry denials are caused by missing medical necessity documentation or incorrect place-of-service codes for telehealth visits.

AMA

Psychiatry billing requires coders who understand time-based E/M rules, psychotherapy add-on code sequencing, behavioral health carve-out systems, and telehealth-specific modifier requirements. Most general billing teams underbill for nearly every session.

What's Included in CureMed Psychiatry Billing

End-to-end billing tailored to your psychiatric practice's session types and payer mix.

01

Psychotherapy Coding

Accurate time-based coding for individual, group, and family therapy sessions with correct CPT time thresholds and add-on sequencing.

02

E/M + Psychotherapy Add-Ons

Expert billing for combined medication management and psychotherapy visits, capturing both the E/M and psychotherapy add-on codes that most billers miss.

03

Psychiatric Evaluation Billing

Proper coding for initial diagnostic evaluations with and without medical services, including correct documentation requirements.

04

Telehealth Billing

Accurate place-of-service coding, modifier application, and payer-specific telehealth rules for virtual psychiatric visits.

05

Crisis Services

Proper billing for crisis intervention, emergency psychiatric evaluations, and prolonged service codes that are often left uncoded.

06

Carve-Out Navigation

Expert routing of claims through behavioral health carve-out networks, ensuring claims reach the correct payer the first time.

How CureMed Psychiatry Billing Works

A five-step process from practice audit to ongoing optimization, built specifically for psychiatric practices.

01

Psychiatry Practice Audit

We analyze your current session coding patterns, denial rates by service type, and payer/carve-out mix to build a custom billing strategy.

02

EHR Integration & Setup

Seamless connection with your psychiatric EHR. We support all major systems and configure workflows for your session types and telehealth setup.

03

Specialty Coding & Submission

Mental health billing experts review every encounter, apply correct time-based CPT codes with proper add-ons, and submit within 24 hours.

04

Payment Posting & Denial Management

Every payment posted, every underpayment flagged, every denial appealed with psychiatry-specific clinical documentation.

05

Ongoing Optimization

Monthly reviews covering session-type analytics, telehealth billing performance, carve-out claim routing, and revenue optimization strategies.

Why Choose CureMed for Psychiatry Billing

Mental health billing expertise that captures the full value of every session, every visit type, and every payer pathway.

Seamless EHR Integration

We connect with your existing psychiatric EHR with zero disruption. No retraining, no workflow changes, just smooth onboarding from day one.

Session-Level Coding Accuracy

We capture the correct time-based codes, psychotherapy add-ons, and medication management combinations for every session type your practice delivers.

Custom Psychiatry Workflows

We adapt to your visit types, CPT codes, carve-out payer requirements, and telehealth setup to optimize reimbursement for every mental health service.

Built-In Compliance

Your billing stays aligned with HIPAA, CMS, and payer-specific guidelines without adding any compliance burden to your front office or clinical team.

Coding Coverage

Psychiatry CPT codes we handle every day

Time-based therapy codes, medication management E/M, and psychotherapy add-on rules. Our behavioural health coders know where the minutes matter.

90791

Psychiatric evaluation

Diagnostic interview without medical services. Needs a comprehensive history and mental status exam documented.

90792

Psychiatric eval with medical

Diagnostic interview with medical services. Higher reimbursement, and medical decision-making has to be documented.

90832

Psychotherapy, 30 minutes

Sixteen to thirty-seven minutes face to face. Time documentation is what an auditor looks at first.

90834

Psychotherapy, 45 minutes

Thirty-eight to fifty-two minutes. The most common therapy code and the sweet spot for most private payers.

90837

Psychotherapy, 60 minutes

Fifty-three minutes or more. Requires medical necessity documentation, and some payers limit frequency.

90853

Group psychotherapy

Non-family group, billed per patient. Typically 60 to 90 minute sessions with group composition documented.

Top Denial Reasons

Where psychiatry billing usually breaks

Three patterns account for most denials here. Our coders catch them before submission rather than after.

37%

Time documentation

90834 and 90837 downgraded when start and end times are missing from the session note. Auditors want the exact minutes.

Our fix. A session time capture template in the EHR. Start and end times are required before a note can be closed.
26%

Authorisation exceeded

Session 25 denied because the payer required re-authorisation at session 20. Common with commercial utilisation review.

Our fix. A session counter per patient per authorisation, with re-auth triggered automatically at 80 percent utilisation.
18%

Telehealth errors

Wrong place of service code or a missing modifier 95 for telepsychiatry. The rules changed after the PHE and keep moving.

Our fix. A telehealth rulebook maintained per payer, so POS 02, 10 or 11 is selected on the payer's own terms.
Psychiatry Sub-Specialties

Each behavioural health setting bills differently. We handle all of them.

Coders matched to your sub-specialty rather than a generalist stretched across all of them. The rules are not the same.

Outpatient psychiatry

Individual psychotherapy, medication management, initial evaluations. The highest volume, and where the time codes need tracking.

Focus codes. 90791, 90834, 90837, 99213, 99214

Group therapy

Group psychotherapy, family therapy, IOP groups. Billed per patient with strict documentation of who was in the room.

Focus codes. 90853, 90847, 90846, 90849

IOP and PHP

Intensive outpatient and partial hospitalisation. Per-diem billing with strict hours and programme requirements.

Focus codes. H0035, H0015, S9480, H2019

Medication management

E/M-based psychiatric visits at levels 3 to 5, with a psychotherapy add-on when applicable.

Focus codes. 99213, 99214, 99215, 90833, 90836

Telepsychiatry

Video individual and group sessions. Place of service varies by payer and most require modifier 95.

Focus codes. 90834 and 90837 with modifier 95

Integrated behavioural health

Collaborative care in primary care settings. The 99492 to 99494 codes cover the care management side.

Focus codes. 99492, 99493, 99494, G2214
Compliance and Regulatory

Behavioural health rules we track for you

Coverage policy moves constantly, and one missed update can deny a month of claims. We watch it so you do not have to.

Mental health parity

Parity violations identified and appealed

MHPAEA requires payers to cover mental health at parity with medical. When session limits, cost-sharing or auth requirements exceed the medical benefit, that is appealable, and we appeal it.

Telehealth extensions

Telepsychiatry rules tracked per payer, per year

Medicare and Medicaid telehealth flexibilities keep evolving after the PHE. Some are permanent, some are reverting, and commercial payers vary again.

Session authorisation limits

Utilisation review triggers maintained per payer

Aetna, Optum, BCBS and Cigna each have different session thresholds for review. Miss the review and every session after it denies.

42 CFR Part 2

SUD confidentiality honoured in billing

Substance use disorder records carry stricter confidentiality than HIPAA. Billing coordination with primary care needs specific patient consent, and we handle that.

What We Handle

Full-service psychiatry billing

Everything the practice needs, from scheduling through final payment posting.

Time-based coding

Session times captured and the right psychotherapy code selected from them.

Session tracking

Per-patient session counts with automatic re-auth at 80 percent utilisation.

Telepsychiatry billing

Place of service and modifier 95 applied on each payer's own terms.

Medication management

E/M levels 3 to 5 with psychotherapy add-on codes billed correctly.

Parity appeals

Denials reviewed for parity violations and appealed with specific citations.

Dedicated manager

The same person answers when you have a session limit question or need appeals filed.

$38K
Additional monthly revenue captured
Correct time coding and parity appeals
We are a group practice with four psychiatrists and eight therapists. Our old billing team kept defaulting to 90834 because they said 90837 was too risky to bill. CureMed showed us the actual documentation requirements and retrained our providers. Thirty-eight thousand a month we were leaving behind.
Clinical DirectorBehavioral Health Group, Washington
Frequently Asked Questions

Frequently Asked Questions

Accurate CPT and diagnostic codes (e.g., for therapy sessions, medication management) are vital to secure proper reimbursement and compliance.

Yes, especially with varying session lengths and codes. CureMed's expertise reduces claim errors.

Yes, to confirm coverage for therapy sessions, crisis intervention, and medication management.

Yes, specialized CPT codes for group therapy are managed accurately by CureMed.

Through continuous education on federal and state mental health billing guidelines.

Curious what your revenue cycle is actually leaving on the table?

Spend 30 minutes with our revenue cycle team and we'll walk through your current setup, surface where money is leaking from denials, slow payer follow up, undercoded encounters, and quantify what cleaning it up is worth in your first 90 days. No prep, no slide deck, just a working conversation with people who do this every day.

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