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Coded right the first time — not corrected after a denial.

Coding is where clean claims start or where denials get written in. Our coders work specialty by specialty, applying ICD-10-CM, CPT, and HCPCS rules the way each payer actually enforces them, not a generic template.

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What we code

Three coding systems, applied correctly together.

ICD-10-CM diagnosis coding

Diagnosis codes selected to the correct specificity — a vague or mismatched diagnosis code is one of the most common reasons a clean-looking claim still gets denied.

CPT procedure coding

Procedure and E/M codes matched to documented time and complexity, including psychotherapy add-on codes for behavioral health visits.

HCPCS Level II coding

Supplies, injectables, and non-physician services coded correctly so they aren't bundled, dropped, or denied as not separately reimbursable.

Behavioral health coding

Psychiatric CPT coding by session time.

This is where our coding knowledge runs deepest — correct E/M plus psychotherapy add-on codes, applied based on documented time, for PMHNP-BC and psychiatrist visits.

16–37 min

+ 90833

Brief psychotherapy add-on. Example: 99214 + 90833.

38–52 min

+ 90836

Mid-length psychotherapy add-on. Example: 99205 + 90836.

53+ min

+ 90838

Extended psychotherapy add-on. Example: 99215 + 90838.

Additional codes used regularly

90792 — Psychiatric diagnostic evaluation with medical services (new patient intake)

99417 — Prolonged services add-on when total visit time exceeds the E/M code's typical time

90847 — Family therapy with patient present

90839–90840 — Crisis psychotherapy codes for high-acuity sessions

Why coding accuracy matters

A coding error doesn't just cost one claim.

Denials compound

The same coding mistake tends to repeat across every claim until it's caught — one error can quietly touch months of billing.

Undercoding leaves money on the table

Coding conservatively to avoid audits often means billing for less than what was actually documented and performed.

Overcoding creates audit risk

Codes that don't match documentation are exactly what payer audits are built to catch — accuracy protects the practice both ways.

Free coding audit

Not sure if your current coding is costing you?

We'll review a sample of recent claims against your documentation, flag undercoding, overcoding, and modifier errors, and show you exactly what a correction would have recovered — at no cost.

Included with

Medical Billing

Coding is billed as part of our full Medical Billing service — 2.5% to 5% of collections, no flat monthly fee.

Book a Free Coding Audit
Common questions

Coding FAQ

What coding systems do you work with?

ICD-10-CM diagnosis coding, CPT procedure coding, and HCPCS Level II coding — applied according to each specialty's documentation standards and payer-specific rules.

Can you audit our existing coding for errors?

Yes. A coding audit reviews a sample of recent claims against your documentation to identify undercoding, overcoding, and modifier errors before they turn into denials or audit exposure.

Do you code for mental health specifically?

Yes — it's our deepest area of expertise. Psychotherapy add-on codes, E/M level selection by session time, and crisis or intensive-program codes are applied by documented time, not estimated.

Is coding billed separately from claim submission?

No. Coding is one part of the full Medical Billing service — you don't pay separately for coding, claims, and follow-up.

Next step

See how coding connects to the rest of the revenue cycle.

Coding feeds directly into claim submission — see how the two work together.

Explore Claims Management →