Dr. Vale does not participate with any health insurance companies. Many insurance policies cover a portion of the visit for out-of-network providers. We recommend that you contact your health insurance provider to determine your coverage before your first visit. Payment in full is expected at each session, so a lengthy turnaround can be an important consideration.
This office can provide billing statements called “Superbills” which contain information commonly needed to submit a claim, including diagnostic codes, the below CPT and POS codes, associated fees, payments received, and physician NPI, DEA and medical license numbers.
More about Out-of-Network Insurance Reimbursement
Questions you may wish to ask your insurance company: What are my out-of-network mental health benefits? Is there flat reimbursement rate for each session, or is a percentage of the fee covered? Can you specify reimbursement for each CPT code, if different? What is the procedure to submit a claim? Is there a difference in reimbursement for telehealth v. office visits? How long is the turnaround time for reimbursement? Paymen |
CPT Codes CPT codes are listed here. For associated fees, please see the Psychiatric Services page. CPT code 90792 (Psychiatric Diagnostic Evaluation) Note above: both the Initial Visit and Psychiatric Evaluation are billed under code 90792 CPT code 99213, +90836 (Combined Psychotherapy and Psychopharmacology Visit) CPT code 99213, +90833 (Psychopharmacology Visit) CPT code 90839 (Crisis Visit) CPT 99358 (Review of Medical Records) CPT 99443 (Phone Calls between Visits) CPT 99422 (Text and Email between Visits) |
Place of Service Codes POS 10 Telehealth provided in patient’s home POS 2 Telehealth provided other than in patient’s home POS 11 In-person office visit |