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
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:
settings Once added and marked as active, enter the required details:
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 to clients when self scheduling
event Time Reserved: Time shown on your schedule 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
- Scroll down and click when finished (bottom right)
Custom CPT Codes (Provider Specific)
To manage and customize provider-level CPT code settings:
- Click Practice Settings (left menu)
- Then Billing & Insurance (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 and need to, click the button
- If they already have them set up, click the button:
- Click here to continue (or scroll past the next 3 bullet points)
As a Provider
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)
- Under the General Settings section find the CPT Settings section
- Click or (top right) if already set up:
You'll then be presented with this screen, starting with Standard CPT Codes:
settings Options:
Once checked off as active, set your:
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 to clients when self scheduling
event Time Reserved: Time shown on your schedule for this an appointment
update Session Duration: Sets the default end time while charting (start time + session duration = end time)
calendar_month Online Scheudling: Means clients can select this CPT code when self scheduling
videocam Telehealth Enabled: Clients can select this for self scheduled telehealth appointments
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 all the above options for it are set (broken down above), and ensure it's checked off as active or for any online scheduling you offer
- Scroll to the bottom and on the right click when finished