Creating or Editing CPT Codes

Needing to adjust your CPT codes?

TherapyAppointment offers options to manage a variety of CPT codes for both billing and insurance.

Here's an overview:

Standard

Required for billing insurance claims.

Includes most common billable CPT Codes like 90837 and 90834

Add-on

Used in addition to Standard CPT codes (for insurance billing)

You cannot add more add-on codes here, you can only use the existing codes

Custom

Unique service codes that will not be billed to insurance

System

Used for Late Cancellations and No-Show Fees

Note: Custom Codes will not populate on Claims and Superbills

movie Video:

CPT Codes (Practice level)

gpp_maybe Required Role: Owner or Manager

To access and manage CPT codes at the universal, practice level:

From any screen click (top right)
Click Billing & Ins. (top tab)
Find the top section CPT Codes and click (far right)

Manage your CPT Codes

You'll now see the CPT codes, starting with Standard CPT Codes:

settings Values explained:

local_atm Usual and Customary Fee: This is the default, but it can be changed manually
pin Code: The CPT code value
description Name: Visible to both staff and clients when self scheduling
event Time Reserved: Time shown on your calendar for this an appointment
update Session Duration: Sets the default end time while charting (start time + session duration = end time)

calendar_month Online Scheduling: Means clients can select this CPT code when self scheduling
videocam Telehealth Enabled: Clients can select this for self scheduled telehealth appointments

Add a CPT Code

To add more either Standard or Custom CPT codes:

At the bottom of that specific CPT Code section, click
An example under the Custom CPT Codes section is shown below:

settings Once added and marked as active, enter the required details:

Most importantly when you're done scroll down & click (bottom right)

Note: Standard CPT Codes populate on claims, but Custom CPT Codes will not populate on claims and superbills.

CPT Codes (Provider Specific)

gpp_maybe Required Role: Owner, Manager

To manage and customize provider-level CPT code settings:

Click (top right menu)
Click Billing & Ins. (top tab)
Scroll down to the section titled Therapist Specific CPT Codes
Find the therapist that's using custom codes

If they haven't already set them up, you'll see 'Using practice defaults' to the right. Click add
If they already have them set up, you'll see 'Using custom codes' beside them. Click edit
To remove therapist specific CPT Codes for this provier, click delete

Then click here to continue the remaining steps.