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Billing Basics

Foundational therapy billing concepts — deductibles vs copays, EOBs, NPI numbers, taxonomy codes, and insurance terminology.

icd-10

ICD-10 F42: OCD Diagnosis Codes and Therapy Billing Guide

F42.2, F42.3, F42.4, and F42.9 explained — OCD subcode selection, ERP treatment implications, hoarding disorder billing distinctions, and CPT code pairings.

2026-03-28 · 5 min read

icd-10

ICD-10 F50: Eating Disorder Diagnosis Codes — Billing Guide for Therapists

Anorexia (F50.01/F50.02), bulimia (F50.2), ARFID (F50.82), and binge eating (F50.81) — code selection, insurance coverage challenges, and medical monitoring documentation.

2026-03-28 · 6 min read

icd-10

ICD-10 F60.3: Borderline Personality Disorder Billing Guide

How to bill F60.3 (BPD) — DBT treatment billing, high-frequency session documentation, CPT code pairing with 90837 and 90847, and insurance prior auth realities.

2026-03-28 · 5 min read

icd-10

ICD-10 F34.1: Persistent Depressive Disorder (Dysthymia) Billing Guide

F34.1 (persistent depressive disorder / dysthymia) — how it differs from F32 and F33, long-term treatment billing implications, and documentation requirements.

2026-03-28 · 4 min read

icd-10

ICD-10 F84.0: Autism Spectrum Disorder Billing Guide for Therapists

ASD (F84.0) billing — when to use ABA CPT codes (97151–97158) vs psychotherapy codes, co-occurring diagnoses, and coverage differences by payer.

2026-03-28 · 6 min read

icd-10

ICD-10 F94.1 / F94.2: Reactive Attachment and DSED Billing Guide

F94.1 (reactive attachment disorder) and F94.2 (disinhibited social engagement disorder) — child therapy billing context, family session CPT codes, and documentation.

2026-03-28 · 5 min read

medicare

Medicare Billing for Therapists: Part B, Enrollment, and Fee Schedule

Complete guide to Medicare Part B psychotherapy billing: PAR vs non-PAR vs opt-out enrollment, 2026 fee schedule rates for 90837/90834/90832/90791, MACs, and Medicare Advantage.

2026-03-28 · 9 min read

medicaid

Medicaid Billing for Therapists: A State-by-State Overview

How Medicaid works for therapists: MCO credentialing, state variation, why Medicaid clients cannot use OON superbills, ABA carve-outs, and FQHC billing rates.

2026-03-28 · 7 min read

group-practice

Group Practice Billing Guide: NPI, Tax ID, and Superbill Setup

How billing works in a group practice: Type 1 vs Type 2 NPI, group EIN vs individual SSN, rendering vs billing provider, 1099 contractors, and revenue splitting.

2026-03-28 · 7 min read

cpt-codes

CPT Code 90833: Psychotherapy Add-On to E/M — Complete Guide

CPT 90833 is billed alongside E/M codes when a prescriber provides medication management plus 16+ minutes of psychotherapy. Learn who can bill it, documentation requirements, and typical reimbursement.

2026-03-28 · 5 min read

cpt-codes

CPT Code 90836: Extended Psychotherapy Add-On to E/M (38+ Minutes)

CPT 90836 is the extended psychotherapy add-on code (38+ min) used alongside E/M codes in psychiatric settings. Learn documentation requirements, reimbursement, and how it differs from 90833.

2026-03-28 · 4 min read

no-show

No-Show Policy for Therapists: Fees, Billing, and Best Practices

Can therapists charge for no-shows? Insurance will not reimburse no-show fees. Learn how to set a policy, what to include in intake paperwork, typical $75–$150 fee ranges, and credit card on file systems.

2026-03-28 · 5 min read

Dialectical behavior therapy skills session with therapist
dbt

DBT Therapy Billing: CPT Codes and Insurance Guide

Which CPT codes to use for Dialectical Behavior Therapy — individual sessions, skills groups, and family components — plus ICD-10 pairings and insurance coverage tips.

2026-03-25 · 6 min read

Child playing during a play therapy session with toys
play-therapy

Play Therapy Billing: CPT Codes and Reimbursement

Play therapy has no dedicated CPT code. Learn which standard psychotherapy codes to use, how to document play-based sessions for insurance, and how to get OON reimbursement.

2026-03-25 · 5 min read

ABA therapy session with a child on the autism spectrum
aba

ABA Therapy Billing: Codes, Modifiers, and Superbills

A complete guide to ABA-specific CPT codes 97151–97158, modifier requirements, insurance coverage mandates, and how superbills work for out-of-network ABA services.

2026-03-25 · 7 min read

Couple in a relationship counseling therapy session
couples-therapy

Couples Therapy Billing: CPT Codes and Insurance Coverage

CPT 90847 (with patient) vs 90846 (without), why insurance usually does not cover couples therapy, and when coverage is possible — explained clearly.

2026-03-25 · 5 min read

Substance abuse counseling session in a professional setting
substance-abuse

Substance Abuse Therapy Billing: CPT Codes and Coverage

CPT codes for substance abuse therapy including 90837, 90853 group sessions, ICD-10 F10–F19 code breakdown, and how mental health parity law applies.

2026-03-25 · 6 min read

Neurofeedback and biofeedback brain therapy session
neurofeedback

Neurofeedback and Biofeedback Billing: CPT Codes Explained

CPT 90901 for biofeedback and neurofeedback, the 90912/90913 perineal codes, highly variable insurance coverage policies, and documentation that supports medical necessity.

2026-03-25 · 5 min read

Art therapy creative counseling session with materials
art-therapy

Art Therapy Billing: CPT Codes and Insurance Reimbursement

Art therapy uses standard psychotherapy codes. Learn credential requirements for billing, state licensing variations, documentation tips, and OON reimbursement options.

2026-03-25 · 5 min read

Psychological testing and assessment in a clinical office
psychological-testing

Psychological Testing Billing: CPT Codes 96130–96146 Guide

Full breakdown of the psychological and neuropsychological testing code hierarchy — 96130, 96131, 96132, 96133, 96136–96139, and 96146 — with billing examples.

2026-03-25 · 8 min read

Medical billing CMS-1500 form and paperwork on a desk
superbill

CMS-1500 Form vs Superbill: Which Do Therapists Need?

Understand the difference between a CMS-1500 and a superbill, when each is used, and which one out-of-network therapists actually need.

2026-03-25 · 5 min read

Therapist using a computer for insurance billing
billing

How to Bill Insurance as a Therapist: The Complete Guide

Everything therapists need to know about billing insurance — in-network credentialing, OON superbill workflows, CPT codes, and choosing the right path for your practice.

2026-03-25 · 9 min read

Telehealth and office place of service code reference
billing

Place of Service Codes for Therapy: 02, 10, 11 Explained

What Place of Service codes 02, 10, and 11 mean for therapy billing, when to use each one, and why using the wrong code triggers claim denials.

2026-03-25 · 5 min read

Therapist and patient in a comfortable counseling office session
cpt-codes

CPT Code 90837: Psychotherapy 60 Minutes Explained

Everything therapists need to know about CPT code 90837 — when to use it, reimbursement rates, and how to document it correctly on a superbill.

2026-03-22 · 5 min read

Healthcare professional at a computer comparing billing documents
superbill

Superbill vs Invoice: What Is the Difference?

A regular invoice and a superbill look similar but serve different purposes. Understand the key differences and when you need each.

2026-03-22 · 4 min read

Psychologist sitting with a patient during a therapy session
cpt-codes

CPT Code 90832: 30-Minute Psychotherapy Billing Guide

When to use CPT 90832, how it differs from 90834 and 90837, the add-on code 90833, typical fees, and documentation requirements.

2026-03-15 · 4 min read

Therapist in a professional counseling office setting
cpt-codes

CPT Code 90834: 45-Minute Psychotherapy Explained

CPT 90834 covers the 45-minute therapy session. Learn when to use it, typical reimbursement rates, and how it bridges the gap between 90832 and 90837.

2026-03-14 · 4 min read

Mental health professional conducting a psychiatric evaluation
cpt-codes

CPT Code 90791: Psychiatric Diagnostic Evaluation Guide

CPT 90791 is the initial intake assessment code. Learn when to use it versus 90792, typical fees of $150–$300, and the documentation it requires.

2026-03-13 · 5 min read

Couple in a therapy session with a counselor
cpt-codes

CPT Code 90847: Family Therapy With Patient Present

CPT 90847 covers family therapy sessions where the identified patient attends. Learn when to use it versus 90846 and how to include it on a superbill.

2026-03-12 · 4 min read

Mental health counselor supporting a patient with anxiety
icd-10

ICD-10 F41.1: Generalized Anxiety Disorder — Billing Guide for Therapists

F41.1 is the most commonly billed mental health diagnosis code. Learn when to use it, how it differs from F41.0 and F41.9, and documentation requirements.

2026-03-07 · 4 min read

Therapist speaking with a patient about depression
icd-10

ICD-10 F32: Major Depressive Disorder — Therapist Billing Reference

A complete reference for F32 subcodes: F32.0 through F32.9, when to use F33 (recurrent), and why severity specificity matters for insurance processing.

2026-03-06 · 4 min read

Trauma-informed therapist in a calming therapy session
icd-10

ICD-10 F43.10: PTSD Diagnosis Code — What Therapists Need to Know

F43.10, F43.11, and F43.12 explained — how PTSD codes differ from adjustment disorder codes, CPT pairings, and prior auth considerations.

2026-03-05 · 4 min read

Therapist conducting a video call telehealth therapy session
telehealth

Telehealth Therapy Billing: CPT Codes, Modifiers, and Superbills

How to bill telehealth therapy correctly: Place of Service 10, the GT modifier, audio-only considerations, and how to note telehealth on a superbill.

2026-03-04 · 6 min read

Therapy support group session with multiple participants
group-therapy

Group Therapy Billing: CPT Code 90853 and Superbill Requirements

CPT 90853 is billed per participant in group therapy. Learn how group billing works, typical fees, OON reimbursement challenges, and documentation.

2026-03-03 · 5 min read

EMDR therapy session with eye movement technique being applied
emdr

EMDR Therapy Billing: CPT Codes and Insurance Reimbursement

EMDR has no unique CPT code — learn which codes to use, how to document EMDR phases, prior auth for PTSD treatment, and intensive EMDR billing.

2026-02-27 · 5 min read

Counselor writing client notes during an intake session
superbill

What Information Do You Need From Clients for Insurance Billing?

A complete intake checklist: client legal name, member ID, group number, provider NPI, taxonomy code, and how to verify insurance before the first session.

2026-02-24 · 4 min read

Group counseling session in a circle arrangement
cpt-codes

CPT Code 90853: Everything Therapists Need to Know About Group Therapy Billing

Deep dive on CPT 90853 — billing rules, documentation requirements, typical fees, and how to format a superbill for group therapy clients.

2026-02-18 · 4 min read

Child in a focus-oriented ADHD therapy session
icd-10

ICD-10 F90: ADHD Diagnosis Codes and Therapy Billing Guide

F90.0 through F90.9 explained — which ADHD code to use, CPT codes for therapy and testing, and insurance coverage for ADHD evaluations.

2026-02-17 · 4 min read

Mental health professional discussing mood disorder treatment
icd-10

ICD-10 F31: Bipolar Disorder Codes — Therapist Billing Reference

Bipolar I (F31.x), Bipolar II (F31.81), cyclothymia (F34.0) — which codes to use, why specificity matters, and CPT codes for bipolar clients.

2026-02-16 · 4 min read

Healthcare provider reviewing identifier and taxonomy code information
superbill

What Is a Taxonomy Code and Why Does It Matter for Superbills?

Taxonomy codes identify your provider specialty on insurance claims. Learn the mental health codes, how to register yours with your NPI, and why it matters.

2026-02-13 · 3 min read

Healthcare professional displaying their identification credentials
npi

What Is an NPI Number? A Guide for Therapists and Therapy Clients

NPI is a required 10-digit identifier on every superbill. Learn the difference between Type 1 and Type 2 NPIs, how to get one, and how to look one up.

2026-02-12 · 3 min read

Healthcare billing reference guide and glossary on a desk
superbill

Therapy Billing Glossary: 35 Terms Every Therapist and Client Should Know

35 essential billing terms defined — from superbill and CPT code to UCR, parity, assignment of benefits, and out-of-pocket maximum.

2026-02-10 · 6 min read

Cognitive behavioral therapy session with therapist writing notes
cbt

Cognitive Behavioral Therapy Billing: CPT Codes and Insurance Guide

CBT is billed under standard psychotherapy CPT codes. Learn which codes to use, documentation best practices, and when health behavior codes apply.

2026-02-07 · 5 min read

Therapist on a video call during a telehealth session
telehealth

Telehealth Superbills: What Must Be Different From In-Person

POS codes, GT and 95 modifiers, audio-only billing, and documentation requirements that differ between telehealth and in-person superbills.

2026-02-06 · 4 min read