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CPT Billing Cheat-Sheet
+ Editable Super-Bill

One-page CPT quick-reference and an editable super-bill template to simplify out-of-network claims. Built for outpatient psychologists.

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Editable Super-Bill
9 CPT Codes
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What's Inside

Everything You Need to Bill With Confidence

A practical, one-page reference designed for the real billing questions clinicians face every week.

CPT Code Quick-Reference

Timing guide for 90832/34/37, diagnostic evaluation codes, family therapy codes, and add-on codes in one scannable table.

Decision Guide

When to use 90834 vs 90837, how to add interactive complexity (90785), and three real-world billing scenarios with code selections.

Editable Super-Bill

Pre-formatted with provider info, NPI, CPT rows, Dx fields, and patient reimbursement instructions. Fill, print, and hand to clients.

At a Glance

Outpatient Psychotherapy CPT Codes

The codes you use most, with timing ranges and key notes.

Individual Therapy

90832
16 – 37 minutes

Brief psychotherapy session

90834
38 – 52 minutes

Standard psychotherapy session

90837
53+ minutes

Extended psychotherapy session

Diagnostic Evaluation

90791
Psychiatric Diagnostic Evaluation

No medical services component

90792
Diagnostic Eval with Medical Services

Includes medical evaluation component

Family / Couples Therapy

90846
Family Therapy Without Patient

Patient is not present during session

90847
Family Therapy With Patient

Patient participates in session

Add-On Codes

90785
Interactive Complexity

Communication barriers, play therapy, or translator involvement. Verify payer rules before billing.

96127
Brief Emotional/Behavioral Assessment

Quick screening (e.g., PHQ-9, GAD-7). Check payer-specific frequency limits.

Quick Rules

Common Billing Scenarios

Three everyday situations and how to code them correctly.

1

45-Minute Individual Therapy

Bill 90834 (38–52 min range). Document start/stop time and clinical content in your note. Time-based coding requires clear documentation of minutes spent.

2

60-Minute Session With Play Therapy or Translator

Bill 90837 (53+ min) and consider adding 90785 (interactive complexity). Document the specific communication barrier or play-based intervention. Check payer policies before adding 90785.

3

Diagnostic Intake With Testing Follow-Up

Bill 90791 for the initial diagnostic evaluation. Schedule testing administration separately using the appropriate test admin codes (refer to your testing policy and payer guidelines).

Quick Tips

  • 90834 vs 90837: Use the typical time range. If your session is 53+ minutes, use 90837 with clinical justification.
  • Family codes: 90846 = patient not present. 90847 = patient is present. The distinction matters for reimbursement.
  • Document everything: Minutes, clinical content, and clinical justification. Required for audits.
Editable Super-Bill

A Super-Bill Template
You Can Actually Use

Pre-formatted with every field insurers need for out-of-network reimbursement. Fill in your details, print, and hand to clients.

Provider name, NPI, taxonomy code, Tax ID
Patient name, DOB, member ID, group number
Visit lines: date, CPT, modifier, units, fee, ICD-10, balance
Pre-populated CPT code examples for quick selection
Provider signature line and credential field
Patient instructions for OON reimbursement submission
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FAQ

Common Questions

Is this billing guide really free?

Yes. The PDF cheat-sheet and printable super-bill are completely free with no email required. An editable DOCX and Google Doc version is available if you sign up for our mailing list.

Who is this CPT guide for?

It is designed for outpatient psychologists in private practice, early-career clinicians, clinical supervisors, and solo therapists who want a fast, practical reference for everyday billing questions like code selection, common add-ons, and super-bill formatting.

Are the CPT codes in this guide current?

The codes listed reflect standard AMA CPT coding for outpatient psychotherapy as of 2026. CPT codes and billing rules can change annually. Always verify codes and billing rules with your specific payer before submitting claims.

Can I edit the super-bill template?

The PDF version is print-ready and includes fillable form fields. For a fully editable version in DOCX or Google Docs format, enter your email above and we'll send it to you instantly.

Does this guide replace professional billing consultation?

No. This is a quick-reference resource for common outpatient psychotherapy codes and everyday billing scenarios. For complex billing situations, payer disputes, or audit preparation, consult a certified medical billing specialist.

What file formats are included?

The free download includes a print-ready PDF cheat-sheet (A4 / US Letter) and a fillable PDF super-bill. Editable DOCX and Google Docs versions are available via email signup.
Disclaimer: This guide is provided for educational purposes only and does not constitute professional billing, legal, or financial advice. CPT codes and billing rules are subject to change. Always verify current codes and payer-specific requirements with your clearinghouse, payer contracts, or a certified medical billing specialist. PsyFi Technologies is not responsible for billing errors or claim denials resulting from the use of this resource.

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