UB04 Revenue Code Code 0910: Psychiatric/Psychological Services

When to Use

Use Revenue Code 0910 when billing for psychiatric or psychological services provided in any setting, including hospital inpatient psychiatric units, psychiatric outpatient departments, community mental health centers, and residential treatment programs. According to Noridian, this code covers general psychiatric care but does not include specific sub-codes like 0911 (psychiatric day care) or 0912 (psychiatric intensive outpatient), meaning 0910 should only be used for standard psychiatric/psychological services that do not fall under more specialized subcategories ^[1]. The MassHealth guide emphasizes that psychiatric inpatient hospitals and psychiatric outpatient hospitals must use the UB-04 form and appropriate revenue codes for mental health services ^[2]. This code is appropriate for services such as individual psychotherapy, group therapy, diagnostic evaluations, medication management by psychiatrists, and crisis intervention. Do not use 0910 for room and board charges, which have their own codes (e.g., 0114 for psychiatric private room or 0124 for semi-private psychiatric room).

Step-by-Step Claim Example

Scenario: A patient receives outpatient psychiatric services at a hospital-based clinic. The provider bills for a 60-minute individual psychotherapy session (CPT 90837) with medication management (CPT 99214) on the same date of service.

Step 1: Enter the patient’s demographic and insurance information in the required fields (provider number, patient name, date of birth, etc.).

Step 2: In Field 42 (Revenue Code), enter 0910 on the first service line to indicate psychiatric/psychological services.

Step 3: In Field 43 (Description), write “Individual Psychotherapy” or “Psychiatric Services.”

Step 4: In Field 44 (HCPCS/Rates), enter the appropriate CPT code(s) for the services provided. For this example, use 90837 (individual psychotherapy, 60 minutes) and 99214 (established patient office visit, level 4).

Step 5: In Field 45 (Service Date), enter the date of service (e.g., 02/15/2024).

Step 6: In Field 46 (Units), enter the number of units for each service. For individual therapy, enter 1 unit; for the medical visit, enter 1 unit.

Step 7: In Field 47 (Total Charges), calculate and enter the total charge for all services on that line (e.g., $150.00 for psychotherapy + $120.00 for medication management = $270.00 or bill as separate lines if required by payer).

Step 8: If the patient had multiple services, use additional lines. For example, line 1 uses revenue code 0910 with CPT 90837, and line 2 uses 0910 again with CPT 99214. Each line must have its own date of service, units, and charges.

Step 9: In Field 50 (Payer), enter the primary payer code (e.g., “001” for Medicare).

Step 10: Complete Fields 51–53 for provider information, including NPI and taxonomy codes.

Step 11: Verify all data, sign the claim, and submit electronically or, if a waiver is granted, on paper. Per MassHealth, up to 22 revenue code lines can be included on a single UB-04 form ^[2].

Common Mistakes & Audit Red Flags

1. Using 0910 for Inpatient Room and Board: A frequent error is using code 0910 for psychiatric room charges instead of the correct room and board codes (e.g., 0114 for private psychiatric room, 0124 for semi-private psychiatric room). This can lead to claim denials or audits. Always separate room and board revenue codes from service codes ^[1].

2. Bundling Non-Psychiatric Services: Another red flag is bundling medical/surgical services under revenue code 0910. Services like EKGs, lab work, or radiology must have their own revenue codes (e.g., 0300 for lab, 0320 for diagnostic radiology). Auditors will flag claims where psychiatric codes are used for non-psychiatric procedures.

3. Missing or Incorrect CPT/HCPCS Codes: Failing to include the appropriate CPT code (e.g., 90837 for psychotherapy) in Field 44 can result in underpayment or rejection. The revenue code alone is not sufficient; it must be paired with the correct procedure code to describe the actual service rendered.

4. Duplicate Billing for Same Date of Service: Billing two lines with the same revenue code (0910) and same CPT code for the same date may trigger duplicate claim edits. Ensure that each service is distinct (e.g., one line for psychotherapy, one for medication management).

5. Exceeding Line Limits: Per MassHealth, UB-04 claims can include up to 22 revenue code lines. For inpatient visits with many services, submitting electronically is preferable to avoid incomplete claims ^[2]. Paper claims exceeding 22 lines will be rejected.

6. Using 0910 for Substance Abuse Services: Code 0910 is for psychiatric/psychological services, not substance use disorder treatment. Use revenue code 094X or 090X sub-codes for SUD services. Mixing these can cause payment issues or audits.

Related Codes/Fields

Code/Field	Description	Source
0114	Room & Board Private (Psychiatric) – for inpatient psychiatric room charges	[1]
0124	Room & Board Semi-Private (Psychiatric) – two-bed psychiatric room	[1]
0204	Intensive Care Unit (Psychiatric) – for psychiatric ICU services	[1]
0900	Psychiatric/Psychological Services (General) – broader code for all psychiatric services	[1]
0901	Psychiatric Day Care – partial hospitalization programs	[1]
0902	Psychiatric Intensive Outpatient – intensive outpatient therapy	[1]
0904	Psychiatric Crisis Intervention – emergency psychiatric care	[1]
0911	Psychological Testing – for diagnostic psychological assessments	[1]
0940	Substance Use Disorder Treatment (General)	[1]
Field 44	HCPCS/Rates – required for CPT codes when using revenue code 0910	[2]
Field 42	Revenue Code – the field where 0910 is entered	[2]

This table outlines the most frequently associated revenue codes and fields needed when using revenue code 0910 for psychiatric/psychological services. Proper use of these related codes ensures accurate billing and minimizes audit risk.

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References

[1] Noridian Revenue Codes — https://med.noridianmedicare.com/web/jea/topics/claim-submission/revenue-codes

[2] MassHealth UB-04 Guide — https://www.mass.gov/doc/ub-04-billing-guide-0/download