Creating or Editing CPT Codes
Needing to adjust your CPT codes?
TherapyAppointment offers options to manage a variety of codes:
- Standard codes: required for billing insurance claims
- Add-on codes: used in addition to Standard CPT codes (for insurance billing)
- Custom codes: Unique service codes that will not be billed to insurance
- System codes: Used for Late Cancellations and No-Show Fees
⚠️
Note: Custom Codes will
not populate on Claims and Superbills
In This Article:
CPT Codes (Practice-level)
To access and manage CPT codes at the universal, practice level:
- Click Practice Settings (left menu)
- Click Billing & Insurance (top tab)
- Under the CPT Codes section → to the right of the type of CPT code you wish to set up, click Set Up
- To add more either Standard or Custom CPT codes, at the bottom of that section click
- An example under Custom CPT codes can be found below:
- Change the code (if applicable) and description along with a typical fee, as well as Time Reserved (shown on your schedule) and Session Duration (used as default start/end times when charting). If there is 'no charge' for the service, add 0.00 as the charge.
- Scroll to the bottom and click Save to save the changes
⚠️
Note: Custom Codes will
not populate on Claims and Superbills
Custom CPT Codes (Provider-level)
To manage and customize provider-level CPT code settings, follow the same steps as above with one variation:
- Click Practice Settings, then Billing & Insurance
- Scroll down the page to the section titled Therapist Specific CPT Codes.
- Find the therapist that's using custom codes
- If they haven't already set them up and need to, click the blue Set Up button
- If they already have them set up, click the blue Edit button:
- Proceed with the illustrated steps below (3 bullet points down):
As a provider without owner or manager access, to manage your own provider-level CPT code settings, follow these steps:
- Go to My Profile (left menu)
Find the section CPT Settings & click the blue Set Up (or Edit) button:
You'll then be presented with this screen, starting with Standard (CPT) Codes:
- Change the code (if applicable) and description along with a typical fee, as well as Time Reserved (shown on your schedule) and Session Duration (used as default start/end times when charting). If there is 'no charge' for the service, add 0.00 as the charge.
- If you need to, scroll down and you'll see Custom (CPT) Codes (as well as add-ons & system codes):
⚠️
Note: Custom Codes will
not populate on Claims and Superbills
- To add more either Standard or Custom CPT codes, at the bottom of that section click
- An example under Custom CPT codes can be found below:
- Enter a code (if applicable) and description along with a typical fee, as well as Time Reserved (shown on your schedule) and Session Duration (used as default start/end times when charting). If there is 'no charge' for the service, add 0.00 as the charge.
Once completed, click the blue Save button at the bottom right: