Home Visit Codes and E/M CPT Codes for Mental Health: 99341–99350 and 99202–99215
Home visit codes and office E/M codes are the CPT codes psychiatrists and other prescribers bill for visits. This guide gives the time for each level, what the note has to show, and which psychotherapy add-ons pair with an E/M visit. Checked against CMS.gov on 9/29/26.
Get My Free ConsultationIn this guide
- ✓ Office visits: new and established patient
- ✓ Home or residence visits and place of service
- ✓ Add-ons: +90833, +90836, +90838, +90785, G2211, G2212
- ✓ What can be billed together
- ✓ Six mistakes that cause denials
What are home visit codes and E/M codes?
E/M stands for evaluation and management. E/M codes describe a visit where the clinician assesses the patient and manages care. Psychiatrists and other prescribers use them for medication management. Psychotherapists bill E/M only if their license and the payer allow it. Office and outpatient visits use 99202–99215. Visits at a patient's home or residence use home visit codes, 99341–99350.
The pairing rule prescribers need: a psychotherapy add-on (+90833, +90836 or +90838) is billed with an E/M code on the same date, never alone. The E/M and the psychotherapy must each be significant and separately identifiable, and each needs its own documentation. Details are in the add-on table below and on the add-on codes page. For psychotherapy, evaluation and crisis codes, see the Non-E/M CPT section.
Home visit codes and E/M codes with time
Jump to a group, then read the time and documentation columns together. Labels show where each time comes from.
- Office visit: new patient
- Office visit: established patient
- Home visit codes
- Add-ons billed with an E/M
Office and outpatient visit: new patient
Times are the minimum total time on the date of service.
| Code | Service | Time range | Document |
|---|---|---|---|
| 99202 | Office/outpatient visit, new patient, straightforward MDM | 15 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99203 | Office/outpatient visit, new patient, low MDM | 30 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99204 | Office/outpatient visit, new patient, moderate MDM | 45 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99205 | Office/outpatient visit, new patient, high MDMCMS lists the base range as 60–74 minutes. | 60–74 minutes (60 or more) | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
Office and outpatient visit: established patient
The usual medication-management visit. 99211 is for a visit that may not require the clinician present.
| Code | Service | Time range | Document |
|---|---|---|---|
| 99211 | Office/outpatient visit, established patient, may not require the clinician presentNo time or MDM level applies to this code. | No time range defined | Document who saw the patient and what was done. Confirm payer policy before billing. |
| 99212 | Office/outpatient visit, established patient, straightforward MDM | 10 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99213 | Office/outpatient visit, established patient, low MDM | 20 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99214 | Office/outpatient visit, established patient, moderate MDM | 30 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99215 | Office/outpatient visit, established patient, high MDMCMS lists the base range as 40–54 minutes. | 40–54 minutes (40 or more) | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
Home visit codes: home or residence visit
Home visit codes have been one code family since January 1, 2023. They cover home, assisted living, group home, custodial care and residential substance-abuse treatment settings. Code 99343 no longer exists; CMS lists 99341, 99342, 99344 and 99345 for a new patient. Bill the place of service that matches where the patient is (see the callout below).
| Code | Service | Time range | Document |
|---|---|---|---|
| 99341 | Home or residence visit, new patient, straightforward MDM | 15 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99342 | Home or residence visit, new patient, low MDM | 30 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99344 | Home or residence visit, new patient, moderate MDM | 60 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99345 | Home or residence visit, new patient, high MDM | 75 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99347 | Home or residence visit, established patient, straightforward MDM | 20 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99348 | Home or residence visit, established patient, low MDM | 30 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99349 | Home or residence visit, established patient, moderate MDM | 40 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
| 99350 | Home or residence visit, established patient, high MDM | 60 minutes or more | Level by medical decision making (MDM) or total time on the date of service. Note which one you used. |
Place of service for home visit codes (Medicare): POS 12 for the patient's home, 13 for assisted living, 14 for a group home, 33 for a custodial care facility and 55 for a residential substance-abuse treatment facility. Source: CMS, Evaluation and Management Services (MLN006764, May 2026). Telehealth POS and modifiers are a separate question; see Modifiers & POS.
Add-on codes billed with an E/M
Add-on codes never stand alone. Each needs a qualifying base code on the same date.
| Code | Service | Time range | Document |
|---|---|---|---|
| +90833 | Psychotherapy add-on, with an E/M servicePsychotherapy time need not be continuous. | 16–37 minutes | Date of service + psychotherapy start and end time (or total time), apart from the E/M |
| +90836 | Psychotherapy add-on, with an E/M service | 38–52 minutes | Date of service + psychotherapy start and end time (or total time), apart from the E/M |
| +90838 | Psychotherapy add-on, with an E/M service | 53 minutes or more | Date of service + psychotherapy start and end time (or total time), apart from the E/M |
| +90785 | Interactive complexity (add-on)Not billed if the patient cannot communicate by any means. | No time. Not a timed code | Date of service + what was adapted and why |
| G2211 | Visit complexity add-on for an ongoing care relationship (Medicare)CMS lists the eligible base codes: 99202–99205, 99211–99215, 99341–99342, 99344–99345 and 99347–99350. | No time. Not a timed code | Show the ongoing relationship in the note. Ask each private payer whether it pays G2211. |
| G2212 | Prolonged office/outpatient E/M (Medicare)CMS examples: 99205 needs 89–103 total minutes for one unit; 99215 needs 69–83 minutes. | Only after the base code time is passed | Total time on the date of service. Not reported with psychotherapy add-ons. |
| G0318 | Prolonged home or residence E/M (Medicare)CMS thresholds: 99345 at 140 minutes; 99350 at 110 minutes. | Only after the base code time is passed | Total time on the date of service. Not reported with psychotherapy add-ons. |
Some private payers use CPT +99417 instead of G2212 for prolonged office visits. The CMS sources checked do not cover it. Ask each payer which prolonged code it accepts.
Yes, the add-on codes pair with these E/M families. Medicare contractor First Coast lists psychotherapy add-ons 90833, 90836 and 90838 as reported with office/outpatient E/M (99202–99215) and home or residence E/M (99341–99350). Source: First Coast Service Options, Psychotherapy services.
- Pick the E/M level by MDM only. Contractor article A57480 says time may not be the basis of E/M selection when a psychotherapy add-on is reported. Source: CMS Coverage Database, Article A57480 (WPS, rev. 1/1/2026).
- Keep the times apart. The same article says E/M activity time is not counted in the psychotherapy time.
- No prolonged services. A57480 says prolonged services are not reported when a psychotherapy add-on is reported.
- Do not add an E/M to 90792. The evaluation-with-medical-services code is not billed with an E/M on the same date. Source: CMS, NCCI Medicare Policy Manual, Chapter XI (1/1/2026).
These are Medicare contractor rules. Private payers and state Medicaid programs can differ. Verify with each payer. See also frequency and documentation rules.
Six E/M mistakes that cause denials
Choosing the E/M level by time on a combined visit
With a psychotherapy add-on, select the E/M level by MDM. Time cannot be the basis for it.
Counting E/M time as psychotherapy time
Count only the psychotherapy minutes for +90833, +90836 or +90838. Document them apart from the E/M.
Billing prolonged services with an add-on
Prolonged services are not reported when a psychotherapy add-on is on the claim (A57480).
Using 99343
Among home visit codes, 99343 no longer exists. New-patient home visits are 99341, 99342, 99344 and 99345.
Wrong place of service on home visit codes
Use POS 12 for the patient's home when you bill home visit codes. Assisted living, group home and custodial care each have their own POS.
Assuming G2211 or prolonged codes pay everywhere
These are Medicare codes. Private payers set their own rules. Verify with each payer.
Home visit codes and E/M frequently asked questions
What E/M codes do psychiatrists bill for medication management?
Psychiatrists bill office and outpatient E/M codes: 99202–99205 for a new patient and 99211–99215 for an established patient. The level comes from medical decision making or total time on the date of service. When psychotherapy is done in the same visit, add +90833, +90836 or +90838. For care at the patient's home, use home visit codes 99341–99350.
Can I bill 90833, 90836 or 90838 with any E/M code?
Medicare contractor First Coast lists them with office/outpatient E/M (99202–99215) and with home visit codes, the home or residence E/M family (99341–99350). They are never billed alone, and 90792 is not billed with an E/M on the same date. Private payers can differ, so verify with each payer.
Does code 99343 still exist?
No. CMS merged the domiciliary and home-services families into one home or residence family on January 1, 2023. The new-patient home visit codes are 99341, 99342, 99344 and 99345. Source: CMS, MLN006764.
How many minutes do I need for 99214 or 99215?
The AMA sets 99214 at 30 minutes or more and 99215 at 40 minutes or more of total time on the date of service. CMS lists the base range for 99215 as 40–54 minutes. You may also choose the level by MDM. With a psychotherapy add-on, use MDM only.
Can I bill G2211 for a psychiatry visit?
CMS lists G2211 as an add-on to office/outpatient and home or residence E/M codes. It is meant for an ongoing care relationship and is not for a one-time or routine visit. Source: CMS, G2211 FAQ. The CMS FAQ does not address psychiatry, so ask each payer whether it pays G2211.
Where these home visit codes and E/M times come from
- CMS, Evaluation and Management Services (MLN006764, May 2026) — code families, G2212/G0318 prolonged thresholds, home POS list, and G2211 base codes
- CMS, PFS Payment for Office/Outpatient E/M Visits fact sheet (Jan. 11, 2021) — 99205 and 99215 base time ranges
- CMS, Frequently Asked Questions about G2211 (Feb. 2026) — eligible base codes and when G2211 does not apply
- CMS Coverage Database, Article A57480 (WPS, rev. 1/1/2026) — E/M with psychotherapy add-on rules. Medicare contractor rule for its own jurisdiction; other contractors publish their own
- First Coast Service Options, Psychotherapy services (page dated Aug. 6, 2026) — E/M families that pair with add-ons
- CMS, Medicare & Mental Health Coverage (MLN1986542, March 2026) — add-on code list
- American Academy of Family Physicians, Time and MDM levels for E/M CPT codes — AMA time thresholds for 99202–99215 and 99341–99350 (CPT-defined; not stated by CMS)
Current as of last search (9/29/26). Reconfirm before publishing. CPT descriptors and minimum times marked CPT-defined come from the AMA. CPT changes each January. Medicare rules only: private-payer, state Medicaid and state law rules are not covered here. For quick reference only: verify against the current AMA CPT manual and each payer's policy before billing. This is operational billing guidance, not legal advice.
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