Psychiatric Practice Billing Services USA 2026
What Makes Psychiatric Billing Complex
- E/M coding for medication management (99213, 99214, 99215)
- Add-on 90833/90836/90838 for psychotherapy during medical visit
- TMS billing (90867/90868/90869)
- ECT billing (90870)
- Prior authorization for injectables (Vraylar, Abilify Maintena, Invega Trinza)
- Buprenorphine (Suboxone) X-waiver removal implications
Common Psychiatric Billing Errors
- Missing add-on psychotherapy codes (undercoding)
- Wrong E/M level (audit risk if too high, revenue loss if too low)
- Missing time documentation
- Missing MDM justification
- TMS documentation gaps
Revenant Care Psychiatric Billing
– KD, Revenant Care