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F30.4 Manic episode in full remission

F33.1 Major depressive disorder, recurrent, moderate

F34.1 Dysthymic disorder

F41.1 Generalized anxiety disorder

F41.9 Anxiety disorder, unspecified

F43.10 Post-traumatic stress disorder, unspecified

F43.12 Post-traumatic stress disorder, chronic

F43.21 Adjustment disorder with depressed mood

F43.22 Adjustment disorder with anxiety

F43.23 Adjustment disorder with mixed anxiety and depressed mood

Here are the most common codes that you’ll come across as a mental health provider.

90837 — Psychotherapy, 60 minutes 

Description: Individual psychotherapy, 60 minutes, with client and/or family member.

Time: 60 minutes (between 53 and 60 minutes)

90834 — Psychotherapy, 45 minutes

Description: Individual psychotherapy, 45 minutes, with client and/or family member.

Time: 45 minutes (functionally between 38 and 52 minutes)

90791 — Psychiatric diagnostic evaluation without medical services

Description: Initial diagnostic interview exam that does not include any medical services. Includes a chief complaint, history of present illness, family and psychosocial history, and complete mental status examination. (Use code 90792 for an initial evaluation with medical services.)

Time: Not time-based

90847 — Family psychotherapy (with client present), 50 minutes

Description: Family psychotherapy (conjoint psychotherapy) (with client present). (Can also be used for couples therapy.)

Time: 50 minutes

90853 — Group psychotherapy (other than of a multiple-family group)

Description: Group psychotherapy (other than of a multiple-family group). Relies on the use of interactions of group members to examine the pathology of each individual within the group. The dynamics of the entire group are noted and used to modify behaviors and attitudes of the client members. (Used to report per-session services for each group member.)

Time: Not time-based

90846 – Family psychotherapy (without client present), 50 minutes

Description: Therapy session intended to aid the treatment of the client, where the family of a client is present without the client being present. 

Time: 50 minutes

90875 – Under other psychiatric services or procedures

Description: Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the client), with psychotherapy (e.g., insight-oriented, behavior modifying, or supportive psychotherapy).

Time: 20-30 minutes

90832 – Psychotherapy, 30 minutes

Description: Individual psychotherapy, 30 minutes

Time: 30 minutes (functionally between 16 – 37 mins)

90838 – Psychotherapy, 60 minutes, with E/M service

Description: Individual psychotherapy, 60 minutes with client and/or family member when performed with an evaluation and management (E/M) service.

Time: 60 minutes (functionally between 53 and 60 minutes)

99404 — Under preventive medicine, individual counseling services

Description: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure)

Time: 60 minutes (functionally between 53 and 60 minutes)

If you will accept insurance in the future whether in-network or out-of-network, you must be state licensed and obtain NPI number from Health and Human Services as follows:

Health Care Providers may apply for their NPI in one of the following ways:

  • Complete the web-based application at https://nppes.cms.hhs.gov. This process takes approximately 20 minutes to complete.
  • Call the Enumerator call center at 1-800-465-3203 or TTY 1-800-692-2326 to request a paper application.
  • Email [email protected]m to request a paper application.
  • Request a paper application by mail:
    NPI Enumerator
    P.O. Box 6059
    Fargo, ND 58108-6059
Note: The most time-efficient method of getting an NPI is the web-based application process.

Recommended path to becoming a mental health provider:

  1. Attend and receive a degree in a mental health area from an accredited college or university - see links within resources
  2. Complete your internship and/or pre-licensed training based on your state's requirement - see links within resources
  3. Take the state licensure examination (steps 2 and 3 can be concurrent) to obtain a state license - more info here
  4. Create an NPI number - see directions within resources
  5. Establish a practice or gain employment
  6. Create a business to run a private practice if you decide to go on your own (follow the steps by individual states on how to register a business such as a LLC or a single person LLC);  consult an attorney or accountant to help with this step or use an online service to register your business - more info here
  7. If you register a business, obtain a tax identification number such as an EIN from the Social Security Administration - more info here
  8. Obtain liability insurance for your practice - amounts of coverage vary by state
  9. If you would like to accept insurance in your practice as a provider, create an account with CAQH (link below) and follow the steps - see links within resources

Suicide and Crisis Lifeline: 988

Poison Control: 1-800-222-1222