The new ICD-10 codes for mental health are coming into effect in 2023, but what do they mean for you?
In addition, starting January, 1st, 2023 there are some major deletions to some of our most frequently used CPT Codes! CPT is deleting prolonged codes 99354, 99355, 99356, and 99357. These were face-to-face prolonged service codes. Many of us use these for extended sessions with our clients and particularly with our EMDR clients and family sessions that go longer than 90 min. Please take note of these major changes and change your billing accordingly.
Here is a summary of the ICD-10 updates and the DSM 5 codes.
ICD-10-CM includes an official Index and official Guidelines of mental health diagnoses. These are designed to help people coding claims to find and assign the correct diagnosis codes for their client’s conditions. Some are billable and some are not. Each year these codes get updated, just to confuse us all. lol!!
What are the new ICD-10 codes for mental health and what do they mean for you?
- F43.8 Other Specified Trauma and Stressor-Related Disorder
- F11.92 Opioid use, unspecified with intoxication.
- F20.4 Schizophrenia, schizophrenic undifferentiated
- BILLABLE CODE – Use F43.81 for Prolonged grief disorder
- BILLABLE CODE – Use F43.89 for Other reactions to severe stress
Codes for Substance Use:
All of the billable Mental Health Codes can be found here pages 41-50.
New Codes - A Complete List can be found here
What changes do you need to make to prepare for the new codes in 2023?
You will need to change any diagnosis that has been removed from the billiable codes for ICD-10 to a more accurate diagnosis. If you were using any of the prolonged session billing codes, please take note and adjust accordingly. I’m keeping an eye on these changes and hope there will be a solution to allowing us to continue with extended sessions when justified.