CPT 90791 billing guidelines for psychiatric evaluations. 2026 reimbursement rates, documentation rules, 90791 vs 90792, and how to avoid common denials.
Three August 2026 OIG audits found Medicaid MCOs deny mental health prior authorizations at higher rates than medical claims. Learn what your practice should do.
CMS proposes a 1.68% conversion factor cut for 2027 as the temporary boost expires. See dollar impacts on psychiatry CPT codes and what to do before the deadline.
F32.9 is the ICD-10 code for major depressive disorder, single episode, unspecified. Learn Excludes1 rules, CPT pairings, and how to prevent 2026 denials.
Bill CPT 96127 for brief emotional and behavioral assessments like the PHQ-9 and GAD-7. Learn unit limits, modifiers 25 and 59, and documentation rules.
Bill CPT 90847 for family psychotherapy with the patient present. Learn 90846 vs 90847, the time rule, same-day billing with 90837, and documentation.
CMS proposes replacing the G2211 add-on code with a 16% modifier for 2027. Learn how the change affects psychiatry E/M billing and what your practice should do now.
CMS proposes new telehealth modifiers BB and BC plus extended behavioral health flexibilities for 2027. Learn what to do before September 14.
Bill CPT 90837 the right way. Learn the 53-minute rule, documentation requirements, 2026 reimbursement, telehealth modifier 95, and how to avoid audits.
CBO projects 5.3M Medicaid coverage losses from work requirements. Learn how this affects psychiatric practice billing and what your team needs to do before 2027.
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