> ## Documentation Index
> Fetch the complete documentation index at: https://docs.medera.info/llms.txt
> Use this file to discover all available pages before exploring further.

# CPT

> Current Procedural Terminology — BH-focused coverage.

CPT is the US standard for medical, surgical, and diagnostic procedures. Medera's BH calibration covers psychotherapy, E/M, crisis intervention, family / group therapy, psychological testing, and CoCM codes.

## Behavioral health CPT subset

### Diagnostic evaluation

| Code    | Description                                             |
| :------ | :------------------------------------------------------ |
| `90791` | Psychiatric diagnostic evaluation                       |
| `90792` | Psychiatric diagnostic evaluation with medical services |

### Psychotherapy (individual)

| Code    | Description                    |
| :------ | :----------------------------- |
| `90832` | Psychotherapy, 30 min          |
| `90834` | Psychotherapy, 45 min          |
| `90837` | Psychotherapy, 60 min          |
| `90838` | Psychotherapy with E/M, 60 min |

### Crisis psychotherapy

| Code    | Description                                  |
| :------ | :------------------------------------------- |
| `90839` | Crisis psychotherapy, first 60 min           |
| `90840` | Crisis psychotherapy, each additional 30 min |

### Family / group

| Code    | Description                          |
| :------ | :----------------------------------- |
| `90846` | Family psychotherapy without patient |
| `90847` | Family psychotherapy with patient    |
| `90853` | Group psychotherapy                  |

### Assessment

| Code    | Description                                            |
| :------ | :----------------------------------------------------- |
| `96127` | Brief emotional / behavioral assessment                |
| `96130` | Psychological testing evaluation, first hour           |
| `96131` | Psychological testing evaluation, each additional hour |

### E/M (established patient)

| Code              | Description                                             |
| :---------------- | :------------------------------------------------------ |
| `99211` – `99215` | Established patient office visit, increasing complexity |

### CoCM (Collaborative Care)

| Code              | Description                                 |
| :---------------- | :------------------------------------------ |
| `99491`           | Care management, first 30 min               |
| `99492` – `99494` | CoCM initial / subsequent / additional time |
| `G2214`           | Behavioral health integration, 30 min       |

## E/M level selection

The engine selects E/M level based on **documented time + MDM** per the 2021 office E/M guidelines. The selection rationale is included in the response:

```json theme={"system"}
{
  "code": "99214",
  "display": "Established patient E/M, moderate complexity",
  "em_selection_rationale": {
    "method": "time",
    "documented_minutes": 32,
    "threshold_range": "30-39 min"
  }
}
```

## Telehealth modifier

For telehealth visits in 2026, append modifier `95` for synchronous audio-video. See payer-specific rules in the Prior Authorization Agent.

***

## What's next

<CardGroup cols={2}>
  <Card title="ICD-10-CM" icon="https://mintcdn.com/medera-357fd587/iC-6rAuwl-0aQSw_/icons/ui/hashtag.svg?fit=max&auto=format&n=iC-6rAuwl-0aQSw_&q=85&s=aad176642277709c5c2964dfa5bea30d" href="/coding/icd-10-cm" width="40" height="40" data-path="icons/ui/hashtag.svg">F-code diagnosis.</Card>
  <Card title="HCPCS Level II" icon="https://mintcdn.com/medera-357fd587/iC-6rAuwl-0aQSw_/icons/ui/hashtag.svg?fit=max&auto=format&n=iC-6rAuwl-0aQSw_&q=85&s=aad176642277709c5c2964dfa5bea30d" href="/coding/hcpcs" width="40" height="40" data-path="icons/ui/hashtag.svg">BH-specific H- and S-codes.</Card>
  <Card title="Encounter coding" icon="https://mintcdn.com/medera-357fd587/iC-6rAuwl-0aQSw_/icons/ui/clipboard-check.svg?fit=max&auto=format&n=iC-6rAuwl-0aQSw_&q=85&s=9cf869d685b45a2ec31be2b3d675a841" href="/coding/encounter-coding" width="40" height="40" data-path="icons/ui/clipboard-check.svg">Per-encounter use cases.</Card>
  <Card title="Revenue cycle" icon="https://mintcdn.com/medera-357fd587/iC-6rAuwl-0aQSw_/icons/ui/chart-line.svg?fit=max&auto=format&n=iC-6rAuwl-0aQSw_&q=85&s=c4831c9d7d3dd913eed06ca94e3b99bd" href="/coding/revenue-cycle" width="40" height="40" data-path="icons/ui/chart-line.svg">Sweeps + audits.</Card>
</CardGroup>