90863
Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services
Which specialties bill 90863
Practices that commonly submit 90863. See how Copay funds each specialty.
Reimbursement context
There is no single fee for 90863. Reimbursement varies by payer, geography, and contract, and each payer sets its own rate. What is consistent and sourced is payment timing: Medicare Advantage plans must pay 95% of clean claims within 30 days, and timely filing limits differ by payer. See the payer pages for sourced detail rather than an assumed dollar amount.
Relevant payers
How Copay purchases 90863 claims
Copay purchases your eligible claims at the service-line level, including 90863, and pays you the next business day regardless of how long the payer takes to adjudicate. You connect your billing software once and submit claims exactly as you do today. It is non-recourse, so a denied eligible claim is Copay's loss, not yours.
90863, answered
CPT 90863 is pharmacologic management, including prescription and review of medication, when performed with psychotherapy services.
Psychiatry practices commonly bill 90863.
There is no single fee. Reimbursement for 90863 varies by payer, geography, and contract. See the payer pages for sourced payment-timing context rather than an assumed amount.
All CPT/HCPCS codes · How Copay purchases claims · Glossary: Claim Adjudication
Descriptor reflects the CMS/AMA descriptor as used across Copay’s specialty pages. Confirm exact wording and payable status against the licensed AMA CPT data file and CMS fee schedule before relying on it for billing.
Get paid on your 90863 claims the next business day.
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