The facility that I do billing for has a particular psychiatrist who bills 90847 quite frequently.

I mostly see this when the patient is a minor and the mother/father is present during the visit who help provide history, medication or behavioral updates (example: "Mother reports increased irritability), etc. The psychiatrist also lists a review of systems, a mental status exam, history and plan in her notes.

To me, it would seem more appropriate to bill an E&M code rather than 90847 only. Thoughts? I’m getting really frustrated with this as not a lot of insurances will cover 90847/46. When I think of psychotherapy, I was told this is more "talk therapy" where the psychiatrist discusses coping mechanisms etc.

Note: These visits are done in a partial hospitalization setting