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Best practice guide

Telehealth for behavioral health care
For providers Best practice guides Telehealth for behavioral health care

Billing for telebehavioral health

If you decide to provide telebehavioral health services, you will have to learn about rules and regulations for billing and reimbursement.

The federal government, state Medicaid programs and private insurers have all expanded coverage for telehealth during the COVID-19 public health emergency. Most insurance companies also cover telehealth services — often including behavioral telemedicine. Confirm coverage by verifying each insurance provider policy.

Tip: Ask patients to confirm their own coverage before each appointment.

Medicare billing guidance

The following common Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes are used to bill for services for telebehavioral care and include updates provided to the 2022 Medicare Physician Fee Schedule (PFS). Although some services will be permanently reimbursable, please note that this list also includes those that are temporarily covered due to the COVID-19 public health emergency, and may be subject to change. See the complete list of telehealth services covered by Medicare during the public health emergency from the Centers for Medicare & Medicaid Services.

Read more

CY22 Telehealth Update Medicare Physician Fee Schedule (PDF) – from the Centers for Medicare & Medicaid Services

Audio-only or video telehealth

Although Medicare reimburses for audio and video telehealth, audio-only reimbursement is currently covered only during the COVID-19 public health emergency.

Category Teleheath CPT codes and HCPCS codes

Aphasia and cognitive assessment

96105, 96125

Behavioral screening


Diagnostic evaluation

90791, 90792


90832, 90833, 90834, 90836, 90837, 90838



Group psychotherapy


Family psychotherapy

90846, 90847

Psychological and neurobehavioral testing or status exam

96116, 96121, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139

Crisis intervention and interactive complexity

90839, 90840, 90785

Speech-language behavioral analysis


Psychological evaluation

96130, 96131

Neuropsychological evaluation

96132, 96133

Psychological & neuropsychological test administration & scoring

96136, 96137, 96138, 96139

Health behavior assessment

96156, 96160, 96161

Health behavior intervention, individual

96158, 96159

Health behavior intervention, group

96164, 96165

Health behavior intervention, family with patient

96167, 96168

Developmental screening and testing

96112, 96113

Adaptive behavior assessment

97151, 97152, 0362T

Adaptive behavior treatment

97153, 97154, 97155, 97156, 97157, 97158, 0373T

Therapeutic interventions

97129, 97130

Therapeutic interventions (group)


Smoking and tobacco use counseling

99406, 99407

Screening, brief intervention, and referral to treatment

G0396, G0397, G0442, G0443, G0444, G0445, G0446, G0447

Opioid use disorder treatment

G2086, G2087, G2088

Non-covered services

It is important to note that these behavioral health services are not Medicare reimbursable.

Category Telehealth CPT codes

Developmental screening and testing


Health behavior intervention, family without patient

96170, 96171

Psychophysiological therapy



While each state is different, most have expanded coverage for telehealth due to COVID-19. Many are now matching Medicare’s telehealth coverage. Check your state’s current laws and reimbursement policies exit disclaimer icon  to see what is covered. For updates on COVID-19 reimbursement and related Medicaid codes and procedures for your state, see:

Medicare’s 2022 Telehealth Policies on Mental Health

A deep dive into Medicare’s 2022 mental health telehealth visit policies is now available on The Center for Connected Health Policy (CCHP) website. Watch the video and access the presentation here exit disclaimer icon .

Private insurance

Many code changes for COVID-19 health care cover telehealth and include specific information for visits that are video- or audio-only. It is important to note that most states distinguish between reimbursement standards for permanent telehealth policies and temporary COVID-19 reimbursement policies. For tips on coding private insurance claims, see:

Have a question?

Contact the staff at the regional telehealth resource center exit disclaimer icon  that’s closest to you for help setting up billing and reimbursement for a new service.

More details about billing and reimbursement, including telehealth coding:

Last updated: May 4, 2022

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