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BETA v.3.0

2025 CPT code 90899

Unlisted psychiatric service or procedure.

When reporting this code, a special report must accompany the claim to describe the nature, extent, and need for the procedure or service along with an appropriate fee. Report a Category III code when available in place of an unlisted procedure code. Claims with unlisted procedure codes are considered on a case-by-case basis.

Modifiers may be applicable.

Medical necessity must be established for the unlisted service or procedure.

The provider performs a psychiatric service or procedure that is not represented by any of the standard and active CPT® codes available.

In simple words: This code is used when a specific code doesn't exist for the psychiatric service or procedure you received.

This code is used to report psychiatric services or procedures that do not have a specific code.

Example 1: A patient undergoes a novel experimental psychiatric treatment not yet recognized by standard CPT codes., A psychiatrist uses a unique combination of therapies not adequately described by existing codes., A patient receives a specialized form of psychiatric diagnostic testing not covered by other codes.

Detailed documentation of the service or procedure provided, including a clear explanation of why existing codes are not applicable. Supporting documentation, such as operative notes or other relevant clinical records. Comparison of the unlisted service/procedure to similar listed codes with a justification for the billed amount.

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