Can You Bill CPT Code 99214 and 90833 Together? Here’s the Answer

Can CPT Code 99214 and 90833 Be Billed Together?

Yes, you can bill CPT code 99214 (E/M visit) and 90833 (psychotherapy, 30 minutes with E/M) together, but only if specific requirements are met.

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Services

Key Conditions for Billing Together

1. Both services must be significant and separately identifiable.
2. Psychotherapy must be distinct from the E/M service.
3. Time requirements must be met:
   • 99214 = ~30 minutes for E/M.
   • 90833 = 30 minutes of psychotherapy.

Required Modifier

• Use Modifier 25 with CPT 99214.
• Format: 99214-25, 90833 (no modifier).

Modifier 25 tells the payer that the E/M service was distinct and above and beyond the psychotherapy session.

Documentation Tips

• Clearly separate documentation for:
  • Medical management or evaluation (E/M).
  • Psychotherapy content (topics, techniques, time).
• Specify time spent on each portion of the visit.

Common Mistakes to Avoid

• Not using Modifier 25 → leads to denials.
• Insufficient documentation → audits or clawbacks.
• Billing when psychotherapy was minimal or embedded in E/M.

Conclusion

CPT codes 99214 and 90833 can be billed together when properly documented and medically necessary. Make sure to use Modifier 25, document separately, and follow payer-specific guidelines.