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Coding reference

Psychiatry coding quick reference

An educational, plain-language map of common psychiatry service codes and how they fit together. CPT is copyright the American Medical Association; confirm descriptors, rules, and payer policy with official CPT and CMS sources.

Download the PDFPDF, 1 page, 4 KB. Free, no sign-up. For clinicians.
Educational example only. This is not legal, medical, or compliance advice, and it is not a ready-to-use legal document. Requirements vary by state, payer, and setting. Adapt anything like this to your own situation and have it reviewed by qualified legal and compliance counsel licensed in your jurisdiction before using it in a practice. You are responsible for compliance with all applicable federal and state laws, including HIPAA. shrinkiatry publishes professional commentary and education, not legal or medical advice.

Current as of July 7, 2026. Laws, payer rules, and billing codes change, so confirm the current requirements for your jurisdiction and setting before you rely on it.

What's inside

Initial psychiatric evaluation

  • 90792: psychiatric diagnostic evaluation with medical services
  • 90791: diagnostic evaluation without medical services (often non-prescribers)

Follow-up medication management

  • Outpatient E/M codes (for example 99213, 99214, 99215) chosen by MDM or time
  • See the E/M documentation checklist for how the level is set

Psychotherapy add-on codes

  • 90833: about 30 minutes of psychotherapy with an E/M visit
  • 90836: about 45 minutes with an E/M visit
  • 90838: about 60 minutes with an E/M visit
  • Add-on psychotherapy is reported in addition to the E/M code and requires separate, timed documentation

Telehealth

  • Use the correct place-of-service code and any required telehealth modifier for the payer and date of service
  • Rules and flexibilities change; confirm current CMS and payer policy
  • Licensure and prescribing follow the patient's physical location

Diagnosis coding

Diagnoses are reported with ICD-10-CM codes, mapped from the DSM-5-TR clinical picture. Keep the documented diagnosis, the code, and the plan aligned.

About this resource

This reference is part of the shrinkiatry resource library, a set of free, clinician-facing references and examples. It's reviewed by Shariq Refai, MD, MBA, FAPA, a board-certified psychiatrist, on a quarterly schedule. Next scheduled review: October 1, 2026. First published July 7, 2026, last reviewed July 7, 2026.

Browse the rest of the resource library, or verify who reviews this site. Spotted something out of date? Email corrections@shrinkiatry.com.

Educational and professional commentary only. shrinkiatry explains the profession of psychiatry. It doesn't provide medical advice, isn't a substitute for evaluation or treatment by a licensed clinician, and reading it doesn't create a doctor-patient relationship.