Is CPT Code 90863 covered by Medicare?
No, 90863 is Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services; used only as add-on to primary psychotherapy code (90832, 90834, 90837). This code was introduced to replace 90862 in January 2013, and is meant for Medical Psychologists, or Psychologists with prescriptive rights. Since Medical Psychologists are not universally recognized by payers, this is a way for them to get paid for their services. If they are recognized, the can use 99-codes, just like Psychiatrists, NPs and other mental health providers.