Guides
Psychiatry coding and documentation guides for the codes you bill every day
Psychiatry coding and documentation guides for prescribing clinicians: the office E/M rules as they apply to medication management, the psychotherapy add-ons, and the psychiatric diagnostic evaluation codes — with documentation examples that support each code and the pitfalls payers audit. Written in current CPT and 2021+ E/M conventions; verify payer-specific policy before billing.
99213 vs 99214 in psychiatry
MDM elements with psychiatric examples, time thresholds, the 90833/90836/90838 add-on rules, documentation that supports each level, pitfalls in both directions, and 99214 RVUs.
90791 vs 90792 and 90785 interactive complexity
Who can bill each evaluation code, what must be documented, when a new-patient E/M fits better, and the four factors that qualify the interactive complexity add-on.
Documentation that supports the code
How Psynopsis helps with each
Coding is your decision. What Psynopsis does is put the elements each code requires into the draft note in the language the guidelines use — so the note you sign supports the level you bill. Every draft is reviewed by you before it is finalized.
- E/M coding: Psynopsis writes the problems addressed with their status, the prescription decisions with rationale, and a separate psychotherapy block, so the MDM elements are in the note before you choose the level.
- Diagnostic evaluation: Psynopsis drafts the complete evaluation with the medical-services elements 90792 requires, and records who was present and whether an interpreter was used, for your review.
See the full feature overview, the workflow for psychiatrists or PMHNPs, and the note template library for the MSE, progress note, intake and ROS.
Notes that support the level you bill.
MDM elements, psychotherapy time and the 90792 medical services — drafted from the encounter for your review.
HIPAA compliant · BAA included · Audio never stored