E/M and Psychotherapy Coding Algorithm
E/M
E/M Alone
Psychotherapy
Psychotherapy Alone
E/M Plus Psychotherapy
Step 1: Select
E/M Code
Psychoanalysis
Inpatient
PHP
Report
E/M Code
Step 2: Select
Psychotherapy
Time
Psychotherapy
Time
30 (16-37*) min
45 (38-52*) min
60 (53+*) min
Family
Therapy
Psychotherapy
Outpatient
E/M Code
Examples
99204
99205
99213
99214
99215
99222
99223
99231
99232
99233
CPT five-digit codes, descriptions, and other data only are
copyright 2012 by the American Medical Association (AMA). All
Rights Reserved. No fee schedules, basic units, relative values or
related listings are included in CPT. CPT is a registered
trademark of the American Medical Association (AMA).
Report
90845
Type
Report
Pt not present
Pt present
Group
90846
90847
90849
Psychotherapy
Time
30 (16-37*) min
45 (38-52*) min
60 (53+*) min
Report
E/M Code and 90833
E/M Code and 90836
E/M Code and 90838
Group
Therapy
Psychotherapy
for Crisis
Psychotherapy
Time
30-74 min
+30 min
Report
Report
90839
90840
Report
90832
90834
90837
90853
Interactive Complexity Present
Psychotherapy
Time
30 (16-37*) min
45 (38-52*) min
60 (53+*) min
Report
E/M Code, 90833 and 90785
E/M Code, 90836 and 90785
E/M Code, 90838 and 90785
Psychotherapy
Time
30 (16-37*) min
45 (38-52*) min
60 (53+*) min
Report
Report
90832 and 90785
90834 and 90785
90837 and 90785
90853
and
90785
Per CPT Time
Rule
