Documentation of Psychotherapy for Insurance WisdomCard


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Research Notes on Documentation of Psychotherapy for Insurance


Documentation of psychotherapy for insurance purposes has specific guidelines in the CPT Handbook for Psychiatrists. Current Procedural Terminology (CPT) is the most widely accepted system of rules to report medical procedures.1

Fast Facts:

  • Include date of service, session time, type of therapeutic intervention, target symptoms, treatment goals, medication management, diagnosis, and legible signature with submission to insurance.1
  • Most common CPT codes submitted by psychiatrists: E&M code (Evaluation and Management, psychotherapy code and medication management code.2
  • Main codes used for psychotherapy reflect time being billed for services.2


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Research Notes References

  1. 1.0 1.1 Google Books: CPT Handbook for Psychiatrists
  2. 2.0 2.1 Psychiatrist Blog: CPT Billing Codes for Psychiatrists and Psychotherapy

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