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CPT 90885: Psychiatric Record Review to Inform Diagnosis and Treatment
CPT code 90885 denotes a clinician-performed review of a patient’s medical records specifically to support a psychiatric evaluation, diagnosis, and treatment planning. Nationally, this code captures a discrete, non-face-to-face clinical activity that helps clinicians synthesize prior documentation before or during psychiatric assessment, and it affects billing, coding compliance, and documentation practices across behavioral health settings. Key payers commonly involved in coverage and reimbursement considerations include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. This publication explains what CPT code 90885 represents, where and how it is typically used, and why it matters for psychiatry and behavioral health operations. Readers will find concise benchmarks for utilization and coverage concepts, summaries of relevant policy themes affecting record-review services, and clinical context that clarifies when this code may be applicable. The content is aimed at coding professionals, practice managers, and behavioral health clinicians seeking a clear, national-level reference on the service definition, typical sites of service, and payer landscape. Data not available in the input is clearly identified where applicable.
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Billing Code Overview
CPT code 90885 describes a record review performed by a clinician to evaluate existing medical records related to a psychiatric evaluation, supporting diagnosis and development of a treatment plan. This service typically involves review of prior psychiatric notes, laboratory results, consult reports, and other clinical documentation to inform the current psychiatric assessment.
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Service type: Clinical record review for psychiatric evaluation
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Typical site of service: Outpatient behavioral health settings, psychiatric clinics, hospital outpatient departments, and telehealth/remote chart review contexts
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