99214 psychiatry example 99214 psychiatry example

PDF JUST HOW MUCH DOCUMENTATION IS REQUIRED - HCCA Official Site Reimbursement like RVU generation or reimbursement like payment from insurance company? sodium amobarbital (Amytal) interview). Billing and Coding: Psychiatry and Psychology Services RY CC 13-year-old male seen for follow up visit for mood and behavior . General: NAD, conversant The good news is that the new system values psychiatric services at a higher level, and reimbursements per visit have increased substantially, by 20% or more. 99214: Patients with 2 problems: Document the problems, at least 4 symptom "elements" in the HPI (such as severity, duration, timing, and quality), at least 9 items on the mental status exam, 2 ROS categories (not necessarily psychiatric), and social history (such as "spending more time with friends"). Billing a 99214 with a typical time of 25 minutes but repeatedly subtracting only 10 minutes to attribute more time to the psychotherapy portionbecause you believe you can do the E/M work much faster than your colleaguesmay raise questions in an audit. PDF Physician Fee Schedule Final Rule: E&M Work RVU Weight Changes #15. %%EOF Subjective: 23 y/o female presents for recheck of depression, also complaining of sore throat and ankle sprain. In fact, some medical and psychiatry practice may be "leaving money on the table" when they bill a 99213 code when in fact their service meet the criteria of a 99214 code. His home blood pressures have been averaging 155/95. For ease of billing how do you document your assessment and plan section typically? endstream endobj 210 0 obj <>stream From what I can gather, many of my visits will meet criteria for 99213/90833 . However, this code is extremely popular, being the second most used among middle level billing codes. Hitting 99215 in CoD isn't necessary though if you're hitting it in the complexity of problems and patient management categories, which is far more common/easier to meet imo. Coding should be easier with the removal of the history and exam components, allowing us to focus more on treating our patients. xWzWnwaGjQ6(rQ'CpHD!BMJz|F ,0nm315&2(erbR~bc{,C8g+P`~p9U 8%;DTw!J JaJH)Re;z(DJ'\P{YUfVq^j is=pY"2,zx2`|oIqJ 8zO3?G Medicare will not reimburse for these codes. This modifier is used for procedures that are a combination of a physician component and a technical component. The physician may choose to prescribe a medication for the patients behavioral health ailment. 99214 : 3 chronic . For example, primary care physicians, OB . 45-59 mins 99204 30-39 mins 99214 LEVEL 5 60-74 mins 99205 40-54 mins 99215 20 Winooski Falls Way, Suite 7, Winooski, VT 05404 Toll-free: 800-722-7708 HEART: RRR. CPT Code 99214 - Moderate Complexity E/m Billing Guide [+2023 However, these may also be carried out and documented in far less complex methods than originally anticipated. Atorvastatin 10 mg po qd They are all part of HCPS, the Healthcare Common Procedure Coding System. Note: We only work with licensed mental health providers. This is due, in part, to more easily achieved factors for reimbursement on this code than with other CPT Codes, including 99214. Technology: Making Todays Therapy Way More Engaging. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. 99214 1.50 1.92 28% 99215 2.11 2.80 33% CMS New Codes for 2021 Code wRVU Value . They are used for office visits with established patients being treated for medical and mental health conditions. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. EXAMPLES ONLY: Prescription drug management Decision regarding minor surgery with identified patient or procedure risk . Going forward, the username you use to log into the system will always be the same as your primary email address on file. Yes: prescription drug management. CPT Code 99214 is a level four code that can be used only for an established patient, whether the visit is conducted in the office or in an outpatient atmosphere. In order to bill 99214, you need 2/3 of either a detailed history, detailed exam, or moderate complexity MDM. These codes have been approved for vagus nerve stimulation (VNS) therapy for treatment-resistant depression. LUNGS: Clear. At that point you are an -entire- patient behind. It is a HCPCS Level II code (CPT codes are HCPCS Level I), part of the HCPCS system used by Medicare and Medicaid. Therefore, it is no surprise that CPT Code 99214 is used the most frequently for this form of visit. Brief Office Visit for the Sole Purpose of Monitoring or Changing Drug, Prescriptions Used in the Treatment of Mental Psychoneurotic and Personality Disorders M0064 is not, in fact, a CPT code. "Tl){yq"M%}oR{x However, there must be a sum of at least 15 minutes of face-to-face time with the patient. PDF Quick Guide to 2021 Oce/Outpatient E/M Services (99202-99215) Coding You can see these rates vary across insurance companies. Code it as a level 4 using total time. Therefore, it is no surprise that CPT Code 99214 is used the most frequently for this form of visit. CPT Code 99213 is a level three code that should be used for an established patient. CC : Follow-up hypertension and diabetes You can call, text, or email us about any claim, anytime, and hear back that day. Why does frequency of visit mean these questions don't need to be asked? The notes/collateral/tests thing is definitely an 'or', but you have to do at least three total things from those categories. Labs: BUN 12, creatinine 0.8, HGBA1C 6.8, spot microalbumin/creatinine ration is 28 mcg/g; LDL 77 Login - my.psychiatry.org Push fluids. 99214 psychiatry example Psychiatry PDF | PDFprof.com It can most commonly be achieved when a consultation with a specialist (e.g. Coding for outpatient E/M office visits is now based solely on either the level of medical decision making (MDM) required or the total time you spend on the visit on the date of service. 45 minutes, Psychotherapy provided alongside evaluation and management services. 0% 99213 for follow ups. 637 0 obj <> endobj General Coding. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. However, behavioral assessment tools may be utilized to ensure that the anxiety is still at a mid-level, with no additional risk factors. Assessment/Plan: Pyelonephritis N12. Please see our Terms and Conditions,Privacy Policy, Subscription Agreement, Use of Cookies, and Hardware/Software Requirements to view our website. Both of these CPT (Current Procedural Terminology) Codes are part of a particular family of billing codes, including 99211-99215. You aren't required to break down how much time you spent before, during, and after the visit, though that may be helpful supportive detail in the event of an audit. Since 2013, all psychiatrists have had to use new CPT (Current Procedural Terminology) codes. "nPYXuD^00-ac; R!1T!C25IG?h1H5,4aUt'l^h295.HpTB yD1t#NS|BiOCc'@$.|Il1c@)pYV H|JAPy18u%@$k\8*U|QeSMcJ,'aH,.~MBib;\WP( If I'm ordering and interpreting those results same day then boom, I met 99215 criteria for CoD even without reviewing outside notes. If it is used for a service that is not provided face-to-face with a patient, the psychiatrist should check with the patients insurer regarding reimbursement. Call or RTC sooner if problems or concerns develop. Psychiatric Evaluation of Hospital Records, Other Psychiatric Reports, Psychometric and/or Projective Tests, and Other Accumulated Data for Medical Diagnostic Purposes. Patients with 3 problems: Document the problems, the social history, 2 ROS categories, and the prescription of a medication. These two procedures incorporate biofeedback and psychotherapy (insight oriented, behavior modifying, or supportive) as combined modalities conducted face-to-face with the patient. This can save valuable time in patient intake and with screening the patients and monitoring their progression, even in between appointments. CPT Code 99214 can be used as part of the second highest level in care for a patients visit. There must be two out of three factors included for proper billing of Code 99214. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Nicotine use disorder, MDD, GAD, bam. We published a primer on the system in our May 2013 issue, but the codes are still complicated. Online clinics delivered at-home ketamine throughout the pandemic, and were just becoming aware of the consequences. I most often see follows ups 1-2 times per week (with therapy using 90838 or 90836) and no issues with using 99214 that frequently. PHQ-9) may also be used to gather more detailed information. Psychiatry and Psychology are specialized fields for the diagnosis and treatment of various mental health disorders and/or . This modifier is used when the work associated with the service provided is greater than that usually required for the listed code. Elements of Medical Decision Making with Psychiatric Specific Examples Number and Complexity of Problems Amount and/or Complexity of Data to be Reviewed and Analyzed Risk of Complications and/or Explanation: The total time for this visit was 25 minutes (in the range of a level 3 visit), so it can't be coded as a level 4 using total time. Was level 4 data reviewed/ordered? Psychiatric Medication Progress Note abhmass.org Details File Format PDF Size: 161 KB Download 2. Nov 15, 2006. Laboratory: UA TNTC, WBCs 4+ bacteria. Discussed symptomatic measures. You'll always be able to get in touch. PDF 2021 E&M Coding Tool - PCC Learn You must log in or register to reply here. Reaction score. If you experience any issues or have forgotten your Username, contact apa@psych.org or call APA . NECK: Benign. This will help you bill more frequently for code 99214. Psychiatric History & Progress Note Templates - Harm Research If you dont want to manage any of this work, were happy to help do the insurance billing for your psychiatry practice. Many medical professionals can bill with CPT Codes 99213 and 96214. Seems easy enough to get to a 99214 if you're spending 30 min with a patient but not sure if people are regularly billing 99214 + 90833 (vs 99213 + 90833) and if insurance is reimbursing for 99214 + 90833 on a regular basis. All Rights Reserved. No hx of resistant infections. Understanding the conditions that must be present for billing with CPT Code 99213 is pretty straightforward. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. To make this simpler, let's substitute level 4 for the term moderate as we take a look at what qualifies in each category (problems, data, and risk). 1037539v1 OUTPATIENT/OFFICE PSYCHIATRIC PROGRESS NOTE COUNSELING AND/OR COORDINATION OF CARE (99214 or 99215) Patient's Name: _____Date of Visit:_____ Interval . Tightly clustered appointments leave very little room for error or miscalculation. These terms or unique code tends to be uniform all around The United States, which helps in effective billing. ]^'&0*3+m/TCS -+rRekULUN{"WeV-%iYIUb%ZG11y\-4{yp"S.HcHC354&yyP1o0BKr:VlW&o0BUnEJc(AH^`VeCo0*X^aVGATC`WR# %/0.1PU0.T"3\cDqLo3546.o35iKu /0BU#-F+*]BICO!U1aVL^- u,/0L$CS1"1$&[# ROS Therapeutic Repetitive Transcranial Magnetic Stimulation (TMS) initial treatment, including cortical mapping, motor threshold determination, delivery and management, Subsequent TMS Delivery and Management, per session, Subsequent TMS Motor Threshold Re-Determination with Delivery and Management, Electroconvulsive Therapy (Includes Necessary Monitoring); Single seizure. Objective: T 100.4, P 88, R 14, BP 125/70. Healthcare providers will be able to provide a higher level of care for their patients by discovering mental health issues. One acute complicated injury (e.g., concussion). This content is owned by the AAFP. But because the physician has documented that the visit met the criteria for a level 4 based on total time, it can be coded as a level 4. Yes: acute illness with systemic symptoms. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf, CPT Codes 99212 and 99213: Decide Which Code to Use for Behavioral Assessment Billing, 2022CPT Code 99214Procedure Code 99214Psychiatry code reimbursementpsychiatry codes. Evaluation and management of an established patient in an office or outpatient location for 25 minutes. When you refer to "counseling and motivational interviewing"- are you referring to discussions about lifestyle and compliance with meds? E/M Changes in 2022: What You Need to Know - Neolytix Remember that you only need two of the three elements, so you can bill for taking history and medical decision making. 2023 Carlat Publishing, LLC and Affiliates, All Rights Reserved. I actually think its hard to have history consistently be the item because its not always necessary to have an ROS or to have PSFH in progress notes. Note: We only work with licensed mental health providers. This code is reimbursed by most insurers. Im 98% 99214, 2% 99215. Free Account Setup - we input your data at signup. This includes time spent with the patient during the visit as well as time spent before and after the visit reviewing the chart, documenting the encounter, making phone calls, reviewing studies, etc. In addition to preventing misunderstandings, this gives patients a better idea of all the time we spend on them outside of the actual visit. Copyright 2021 by the American Academy of Family Physicians. CPT Code 99214 can be used as part of the second highest level in care for a patients visit. E&M Codes for Fun and Profit: A Story of 4 Psychiatrists While not all insurance companies accept the code 99214, many do. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Clinicians performing VNS therapy should use the appropriate code from the 95970, 95974, and 95975 series of codes found in the neurology subsection of the CPT manual. This procedure is covered by most insurance plans. If so, then you're done. This is due, in part, to more easily achieved factors for reimbursement on this code than with other CPT Codes, including 99214. *kT1Rq:/(Rr9[>YsvYNz"gRRIk2:Os]o.YS!k|:tj_;p]qM5*BjF-]&Mj{Kc8emt/6MrL5R.85'VYM+/g-nV-%cWu:S6{Q:[{_Ws'4.3I{Ti_|]W4.sYy{{y#Nh]W3'4.k&y$E: : 4iy8Xm}#m&{o\>+3\]Gcjrh{hW$xs=v1n.n5ee)4X6vI$}[Vh5gBkkCRk(^{]n5Fv;s8}IJqiU%%u}Ei0;ryu8g]~5 sRuit|)| uJ{(w3:+K.D(oP li9M-~~iiKT2392J_cEC&j_mp>M>[D4FOnVQ2r=Sbk+K0y.Rq)6j7!975ii6'4Im-kYU,*&W-y(R0tV0xS10Z"63-.4Dl&|$H`h(K"884d%;DMsj{rp{%(9Rt"Jx+vfQ[EY2%pht38VUF%u0Yva>Z2GLNYkc9&gzws6E,Yvi-jWfZF[ E5M'HY^>C&E"JU! I probably wouldn't feel comfortable consistently coding 99214+90833 for a 20 min visit, but 30 minute visits? Both the history and physical are required. Psychiatry CPT Codes: The Definitive Guide [+Cheat Sheet PDF] Here is a short list of the most common CPT Code modifiers that would be used while rending psychiatric services. This patient may have had mild back pain for three or four years, being treated with muscle relaxants. 99213 vs 99214 question - more in comments : Psychiatry - reddit It can result in $30,000 or more in lost revenue in a year, depending on practice volume. Well it depends on how frequently you see pts. CPT Code 99213 can be utilized for a mid-level outpatient or inpatient office visit. Doctors who address fewer problems per visit, have a high patient volume, or have a younger panel tend to have a lower percentage of level 4 visits. Some providers bill with CPT Code 99214 all the time. One x-ray or electrocardiogram (ECG) interpreted by you. to investigate the possibility of mental illness as a possible attributing factor to a health problem. However, the flow of conversation may quickly turn to feelings of depression that are now accompanying this pain. CPT code 99214 describes a level 4 office or outpatient visit, typically a comprehensive evaluation and management of the patient's medical problems. nmanojkumarame September/October 2020 Countdown to the E/M Coding Changes, November/December 2020 The 2021 Office Visit Coding Changes: Putting the Pieces Together, January/February 2021 Coding Level 4 Office Visits Using the New E/M Guidelines. Diabetes is stable as well, with no significant hyperglycemia or episodes of symptomatic hypoglycemia. Any time under 16 minutes of psychotherapy should not be billed as a psychotherapy add on. I've been just randomly using 99213 (or 99212 for biweekly visits) and 99214s, because of this fear of using them "too frequently." I've been in practice since 2019. The visit progress note template contains sections on: treatment plan, objectives, anticipated benefits, & estimated time to meet treatment goals. The level of service for our chronic stable problem would increase from 99212 to 99213, and our acute uncomplicated problem decreases from level four to level three. These services are typically set in an office location. This can save valuable time in patient intake and with screening the patients and monitoring their progression, even in between appointments. ^ugwj`b+AO_D>uSl^O?X-g|m- ?P{@; Loh @8-cIe[W` M`EMDu/zvHZ>}O & (Templates to help code visits based on total time or MDM are available with Countdown to the E/M Coding Changes, FPM September/October 2020. They are all part of HCPS, the Healthcare Common Procedure Coding System. 99214: 25: 30-39: 99215: 40: 40-54: . The 2021 E/M coding changes should help ensure you're not leaving money on the table, especially when it comes to coding level 4 visits, which is not as straightforward as coding other levels. I too see my PP patients for 30 minute follow ups and bill 99214+90833 for most of them. That means that for an outpatient E/M office visit to be coded as a level 4 (for new or established patients), you need at least two of the three elements to reach the moderate category moderate number and complexity of problems addressed; moderate amount and/or complexity of data to be reviewed and analyzed; or moderate risk of complications and/or morbidity or mortality of patient management. In order to bill 99214, you need 2/3 of either a detailed history, detailed exam, or moderate complexity MDM. It may not display this or other websites correctly. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three components to be present in the medical record: Its important to note that the presenting problem(s) are moderate complexity. {2$ya]mGQ^^tr)UTocAk;b-yIcYdG CPT 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed history; a detailed examination; medical decision making of moderate complexity. They can be used to increase the complexity of visits and thereby qualify for billing with a higher code (e.g. I cannot capture in words the value to me of TheraThink. Preparation of Report of Patients Psychiatric Status, History, Treatment, or Progress (Other Than for Legal or Consultative Purposes) for Other Physicians, Agencies, or Insurance Carriers. Would it be economically more efficient to dedicate one day a week solely for 15 minute appointments to slot these quick patients? Patients with 2 problems: Document the problems, at least 4 symptom elements in the HPI (such as severity, duration, timing, and quality), at least 9 items on the mental status exam, 2 ROS categories (not necessarily psychiatric), and social history (such as spending more time with friends). Objective: T 100.2, P 96, R 18, BP 110/70. If so, code it as a level 4 using MDM. NAD. Office of Corporate Compliance - University of Chicago Medicine Tonsillitis J03.90. It will be less helpful for physicians who open the computer only when needed during the patient visit. The total time needed for a level 4 visit with a new patient (CPT 99204) is 45-59 minutes.. Every provider we work with is assigned an admin as a point of contact. It offers higher revenue/reimbursement than some similar CPT codes, including CPT Code 99213. Bilateral ankle exam: L ant drawer is negative, inversion testing on L causes pain, focal mild tenderness and swelling just below L lat malleolus. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). ABDOMEN: No masses or organomegaly. Free Account Setup - we input your data at signup. These necessary components include: Any mixture of these components necessary to bill for CPT Code 99214 should be presented in face-to-face time with the patient, totaling 25 minutes. is it possible to bill 99214+ 90833 for a 20 minute visit, or is that likely cheating? and office psychiatry services that are currently on the list of telehealth services. Counseling going well. Was level 4 data ordered/reviewed? We at TheraThink provide a billing service that can help de-code which psychiatry CPT codes to use. In case you needed more reason to be thorough in asking people about sleep problems and substance use, it is if nothing else a very quick way to expand that problem list. rq5J*KW'\SHkOUdX_+MVo +TujSyNNRvVWnb)Kns In both of our examples, the level of service supported (considering only MDM) changes with the new MDM table for office visits. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. Mental healthcare providers may also use these tools to help. EXAMPLE 2. Autism spectrum disorder, ADHD, other specified anxiety disorder. (Note: these changes apply only to regular office visits and not to nursing home or hospital E/M visits.). This being said, providers must be sure that the treatment being offered accurately represents the services required for billing with such a code. Hopefully, this will encourage psychiatrists who have fled insurance networks to return to themyou can now be assured of a robust income with an insurance-based practice, even if you choose to see many of your patients for therapy. The psychiatric visit progress note template is designed to provide the clinician with a systematic approach to documenting important information at each follow up visit. x;EO&@O. No cervical adenopathy. Once you know the ins and outs of both codes, choosing which one to bill is actually quite simple. PERRLA. You free me to focus on the work I love!. %PDF-1.6 % Cipro 500 mg po bid x 7 days with appropriate precautions. New 2021 E/M guidelines: What Psychiatrists and Other - LifeBrief CV: RRR It cannot be used with a new patient who has no history. Lungs: CTA HEART: S1 and S2 w/o murmurs. -O^eT!3n_D&` (f}&X4YsXTr531)A/:+/,_@Bx Strep screen neg. 2uZL XY!LcL6g!xR \P)P`=|67YFNO` t L But the definitions have changed somewhat (see CPT E/M office revisions: level of medical decision making). 90792 Psychiatric Diagnostic Eval 99204 Level 4 New Patient Office Visit (Typical time 45 minutes) 99205 Level 5 New Patient Office Visit (Typical time 60 minutes) Follow-up Psychiatry appointments. Will call if strep culture is positive. hj0o@B6kl#Cb[Hn&[3`0Y9G7s My daily insurance billing time now is less than five minutes for a full day of appointments. I cannot capture in words the value to me of TheraThink. This is not a comprehensive list of CPT codes. It is simply a general description of commonly performed mental health services. Thank you. You'll always be able to get in touch. Psych Practice E amp M Coding in All Its Glory. ABDOMEN: soft, nontender, moderate L CVA tenderness. 224 0 obj <>stream For example, they can be used in primary care or OB/GYN offices. The total time needed for a level 4 visit with an established patient (CPT code 99214) is 30-39 minutes. There are no new diagnosis or medications prescribed. However, because this is not a service provided face-to-face with a patient, Medicare will not reimburse for this code either, and clinicians should verify coverage by other insurers. How to Code for Complex Yet Stable Patients | Psychiatric News Discussed depression. Review of prior external note(s) from each unique source*; Review of the result(s) of each unique test*; Independent interpretation of a test performed by another physician/other qualified health care professional (not separately reported); Drug therapy requiring intensive monitoring for toxicity, Decision regarding elective major surgery with identified patient or procedure risk factors, Decision regarding emergency major surgery, Decision not to resuscitate or to de-escalate care because of poor prognosis. Started on sertraline 50 mg 4 months ago. 99214 documentation | Student Doctor Network Psychiatry CPT Codes are numerous and nuanced. Tell them they have to reschedule? If you're a psychiatrist seeing a follow-up patient for 30 minutes, there is almost always a way to justify that more than half of that session was spent doing therapy. You must have JavaScript enabled to enjoy a limited number of articles over the next 30 days. Discussed acute pyelo, also ways to prevent bladder infections. "#$%&'()*3456789:CDEFGHIJSTUVWXYZbcdefghijrstuvwxyz ? Some doctors choose to report a level 3 instead of a level 4 because of fear of over-coding.1 Some do level 4 work but their documentation is lacking and doesn't support a level 4 code. zx} bf Revised Prolonged Services code 99417, new 99418, deleted codes 99354-99355, 99356- 99357. The rest involve supportive psychotherapy. A total of three points, earned as follows: a) One point for each unique test ordered or reviewed (panels count as one point each; you cannot count labs you order and perform in-office yourself), b) One point for reviewing note(s) from each external source, and c) One point for using an independent historian. Clinical example 99214 E/M coding, EM evaluation and management coding dT:a=qrn1gf E4{$. 99214 should be used for patients whose appointments are 25 minutes and whose treatment is considered as being of moderate complexity. This curriculum will teach you all you need to know about performing and documenting office-based and hospital-based psychiatry E/M services. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. A great example of a primary care doctor using CPT Code 99214 is when an existing patient comes in for a routine health examination for chronic pain. For example, if the total duration of face-to-face physician-patient time is 21 minutes, select code 99214 because the duration of visit is closer to 25 minutes, the average time for a 99214,. Group 1 Codes. Environmental Intervention for Medical Management Purposes on a Psychiatric Patients Behalf With Agencies, Employers, or Institutions. It can be used to bill for an in-office visit or in an outpatient setting. Example: Elements of Medical Decision Making Code Level of MDM Based on 2 out of the 3 elements of MDM Number and Complexity of . PHARYNX: Benign. E/M Coding and Documentation Education. CPT Code 99214 can only be used for an established patient's office visit, and it is a level four code. Has 2 day hx of L lateral ankle pain. 99214, the Mental Status Exam must address nine of the following eleven Mental Status elements: Speech Orientation Language Memory Thought Processes Attention . We will offer you a quick guide on most common psychiatry CPT Codes, explain evaluation and management (E/m) codes, and then provide an exhaustive list of all Psychiatry CPT codes. However, here's the breakdown for coding the visit based on MDM: Was there a level 4 problem?