Can code 90833 (psychotherapy session) be billed with code 99244 (office or other outpatient visit) on the same day?

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Billing Code 90833 with 99244

Yes, you can bill code 90833 (psychotherapy add-on code) with 99244 (consultation code) on the same day. 1

Understanding the Codes

  • 99244: Consultation code for office or other outpatient visit
  • 90833: Add-on code for 30-minute psychotherapy performed with an evaluation and management service

Billing Guidelines for Combined Services

Proper Use of Add-on Codes

  • Code 90833 is specifically designed as an add-on code that can be used with evaluation and management services, including consultation codes like 99244 1
  • The American Academy of Child and Adolescent Psychiatry confirms that the GT modifier "95" can be used with both 90833 and 99244 when these services are provided via telemedicine 1

Documentation Requirements

  • When billing both codes together, ensure:
    • Clear documentation of the medical necessity for both services
    • Separate documentation for each component of service
    • Proper time allocation for each service
    • Medical decision-making is clearly documented 2

Modifier Usage

  • No modifier is needed for the add-on code 90833 as it's designed to be used with E/M services
  • If services are provided via telemedicine, use the appropriate telemedicine modifier (95) 1

Common Pitfalls to Avoid

Documentation Issues

  • Insufficient documentation of medical necessity for both services
  • Failure to document time spent on psychotherapy separately from the E/M service
  • Not clearly distinguishing between the E/M component and psychotherapy component 2

Billing Errors

  • Attempting to bill psychotherapy as a standalone service (90832) instead of using the add-on code (90833)
  • Incorrect time allocation between services
  • Not meeting the minimum time requirements for the psychotherapy add-on code

Best Practices

  • Document the medical necessity for both the consultation and psychotherapy services
  • Clearly separate the documentation for the E/M portion and the psychotherapy portion
  • Track and document time spent on each service component
  • Ensure the psychotherapy portion meets the minimum time requirement for code 90833 (30 minutes)
  • Review documentation before submission to ensure compliance with billing requirements 2

By following these guidelines, you can appropriately bill both 99244 and 90833 together for the same patient on the same day.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Evaluation and Management Codes

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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