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