How to bill and code for mental health services

CPT codes reflect appointment complexity and can help you recoup time you’ve spent consulting with MC3 and managing patients with chronic mental health concerns.

Code

When to use

99452

For consultation with MC3

99213-99215

EM codes for established patients

99203-99205

EM codes for new patients

99417

For each additional 15 minutes beyond the required time for the primary EM code

99484

For care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other QHP, per calendar month

96127

For mental health screens (e.g. PHQ-9, GAD 7, Vanderbilt)

96110

For developmental screens (e.g. MCHAT)