Each year, May is observed as National Mental Health Awareness Month, since 1949. This month aims at raising mental health awareness for everyone throughout the nation. For the 2022 Mental Health Awareness Month, NAMI (National Alliance on Mental Illness) promotes the message of “Together for Mental Health.” This month was commemorated by the Mental Health America organization, which was then known as the National Mental Health Association. This month is represented by a green ribbon. This observance is especially significant for psychiatrists who treat diverse mental conditions, all of which require accurate documentation in the medical records. An experienced hand in providing psychiatry medical coding services, OSI (Outsource Strategies International) supports psychiatry practices, individual psychiatrists, clinics, community mental health centers, and hospitals.

Mental health disorders refer to a wide range of mental health conditions that can affect one’s mood, thinking and behavior such as anxiety, depression, seasonal affective disorder, bipolar disorder, major depression, schizophrenia, and post-traumatic stress disorder (PTSD), among others. Mental illness affects millions of people and their families nationwide According to a report from NAMI, 21% of U.S. adults experienced mental illness in 2020 (52.9 million people). This represents 1 in 5 adults. Along with providing quality treatments, it is also important for psychiatrists to submit clean medical claims to health insurers to get their reimbursement on time.

The DSM-5 is the authoritative guide for diagnosing mental health disorders in the U.S. Let us look at the most commonly used ICD-10 codes for mental, behavioral, and neurodevelopmental disorders.

ICD-10 Code Chapters

  • F01-F09 Mental disorders due to known physiological conditions
  • F10-F19 Mental and behavioral disorders due to psychoactive substance use
  • F20-F29 Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
  • F30-F39 Mood [affective] disorders
  • F40-F48 Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
  • F50-F59 Behavioral syndromes associated with physiological disturbances and physical factors
  • F60-F69 Disorders of adult personality and behavior
  • F70-F79 Intellectual disabilities
  • F80-F89 Pervasive and specific developmental disorders
  • F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
  • F99-F99 Unspecified mental disorder

Some of the ICD-10-CM codes found in the DSM-5 list are – 

  • Z60.3 Acculturation difficulty
  • Z72.811 Adult antisocial behavior
  • T74.11XA Adult physical abuse by non-spouse or non-partner, Confirmed, Initial encounter
  • T74.11XD Adult physical abuse by non-spouse or non-partner, Confirmed, Subsequent encounter
  • G25.79 Other drug induced movement disorders
  • G31.9 Major neurocognitive disorder due to Parkinson’s disease, Possible
  • G47.00 Insomnia, unspecified
  • G47.37 Central sleep apnea in conditions classified elsewhere
  • R06.3 Periodic breathing
  • Z62.898 Other specified problems related to upbringing
  • Z72.810 Child and adolescent antisocial behavior
  • Z63.8 High expressed emotion level within the family
  • Z69.11 Encounter for mental health services for victim of spousal or partner abuse
  • Z69.12 Encounter for mental health services for the perpetrator of spousal or partner abuse
  • Z69.011 Encounter for mental health services for the perpetrator of parental child abuse
  • Z69.82 Encounter for mental health services for the perpetrator of other abuse
  • Z71.9 Counseling, unspecified
  • Z91.49 Other personal histories of psychological trauma, not elsewhere classified

CPT code chapters

  • 90804-90809: Insight-oriented, behavior modifying and/or supportive psychotherapy
  • 90810-90815: Interactive psychotherapy

Psychiatric Diagnostic Interview

  • Code 90801: Psychiatric diagnostic interview examination
  • Code 90802: Interactive psychiatric diagnostic interview examination

Psychotherapy CPT codes

  • 90832 Psychotherapy, 30 minutes with the patient
  • 90834 Psychotherapy, 45 minutes with the patient
  • 90837 Psychotherapy, 60 minutes with the patient
  • 90845 Psychoanalysis
  • 90846 Family psychotherapy (without the patient present), 50 minutes
  • 90847 Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes
  • 90849 Multiple-family group psychotherapy
  • 90853 Group psychotherapy (other than of a multiple-family group)

Other codes

  • 90791 — Psychiatric diagnostic evaluation without medical services
  • 90875 – Under other psychiatric services or procedures
  • 99404 — Under preventive medicine, individual counseling services

With a growing number of Americans facing mental health issues each year, it is important for psychiatrists and other mental health specialists to file accurate claims with the right diagnosis and procedure codes. It is key to ensure that the codes on the insurance claim forms accurately reflect the services they provided to their patients.

Providers must make sure to rely on AAPC-certified coders who are up-to-date with psychiatric therapeutic and diagnostic codes, health behavior assessment and intervention codes, as well as HCPCS Level II codes. At OSI, we understand that psychiatry medical coding is quite challenging. Our billing and coding team is up-to-date with the reimbursement policies of major private and government payers so as to assign the correct payer-specific codes.

Check out
Tips To Code And Bill Mental Health Services [Infographic]

Listen to our podcast
Benefits of Insurance Verification for Behavioral and Mental Health Billing