CPT 90863 is an add-on code for pharmacologic management—prescribing and reviewing medication—when performed with psychotherapy services on the same day.
When to use 90863
Add 90863 when a prescriber manages medication during the same encounter as psychotherapy. It cannot be billed alone and is not used with an E/M code (use the E/M-with-therapy add-ons instead).
How to bill it
Bill as an add-on to a psychotherapy code on the same date, documenting the medication review.
Common pitfalls
- Billing 90863 without a psychotherapy code the same day.
- Using it alongside an E/M service, which is not permitted.
Frequently asked questions
When is 90863 appropriate?
It is appropriate when a prescriber performs medication management in conjunction with psychotherapy during the same encounter.
Can 90863 be billed with an E/M code?
No. When an E/M service is involved with psychotherapy, use the appropriate E/M-with-therapy add-on codes (90833–90838) instead.