Psychiatrist Invoice Template

Free invoice templates for psychiatrists built for session fees, medication management, and copays and deductibles. Download and edit in PDF, Word, Excel, Google Docs, or Google Sheets.

Also called: psychiatrist invoice, psychiatrist bill, or psychiatrist invoice.

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Download Free Psychiatrist Invoice Templates

Download a template, then edit in PDF, Word, Excel, Google Docs or Google Sheets. Print or email when ready.

Sheets, Excel, Word and Doc Templates Coming November 21, 2025.

Custom Psychiatrist Invoice Template

Best for:

Logo, claim, prior auth and PO.

Editable Psychiatrist Invoice Template

Best for:

Edit codes, telehealth, add labs.

Free Psychiatrist Invoice Template

Best for:

Visit type, med review, CPT, notes.

Printable Psychiatrist Invoice Template

Best for:

Copay, insurance ref, signatures.

How to Invoice as a Psychiatrist

Keep it simple: record what you did, set clear terms, and make paying easy for patients and payers.

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In 5 Steps:

Right after the visit, note the date, duration, and services delivered.
Add required identifiers, set payment terms, and include a deposit for first visits when you use one.
Draft the invoice with plain descriptions and codes only where needed, then confirm who will pay.
Send the invoice securely and offer easy ways to pay.
Apply any deposit or prior payments, record the payment, and close the balance.

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What to Include in a Psychiatrist Invoice

These are the must-have fields for clear, compliant invoices patients can trust.

These are the must-have fields for clear, compliant invoices patients can trust.

Provider name, credentials, business name, and contact info
Professional license # and NPI
Tax ID/EIN
Patient full name and date of birth
Invoice number and issue date
Date of service and place of service (office or telehealth)
Service description with CPT/HCPCS and ICD-10 diagnosis code, if required (check local rules)
Time/duration or units per service
Insurance or authorization details (plan, member ID, and any prior auth #), if applicable
Payment terms, due date, and accepted payment methods

Billing Scenarios for Psychiatrists

How to label charges so every invoice makes sense the moment your clients see it.

Initial psychiatric evaluation (60 min); Intake paperwork review

New patient intake and evaluation

Use this when you conduct a first visit that includes history, mental status exam, and plan.

Medication management visit; Chart review

Medication management follow-up

Bill for the visit and any pre-visit chart review that supports safe prescribing.

Medication management visit; Psychotherapy add-on (30 min)

Medication check plus brief therapy in the same session

Show both parts when you adjust meds and provide talk therapy in one appointment.

Telehealth visit; Modifier 95

Telepsychiatry visit

Show prior payments as credits and subtract them from the balance due.

No-show fee; Late cancellation fee

Late cancellation or no-show per policy

Charge according to your written policy to protect your schedule.

Form completion (FMLA/disability); Documentation prep

Bill for time spent completing paperwork that is not part of a scheduled visit.

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Session fees and patient charges for psychiatry

List session fees, medication management, copays, deductibles, and paperwork with professional invoice line items.

Charge or Service

Unit

Taxable

When to use

How to show it

Initial psychiatric evaluation

Time

First visit diagnostic intake

Time × hourly rate. Document history, mental status exam, diagnoses, and initial plan.

Medication management follow-up

Time

Ongoing med check visit

Time × hourly rate. Review meds, side effects, labs, and update plan.

Psychotherapy 50-minute session

Time

Weekly therapy appointment

Time × hourly rate. Deliver therapy, record interventions, and note progress toward goals.

Family therapy (without patient)

Time

Treat family dynamics

Time × hourly rate. Work with family members; document goals and outcomes.

Telepsychiatry visit

Time

Video visit with patient

Time × hourly rate. Use a secure platform; confirm identity and location consent in notes.

Crisis/urgent session

Time

Same-day urgent concern

Time × after-hours rate. Triage risk, adjust plan, and document a safety plan.

Care coordination call

Time

Coordinate with therapist/school

Time × hourly rate. Log contacts, decisions, and next steps for continuity of care.

Clinical paperwork & forms

Item

Forms for work/school

Qty × rate per form. Complete, sign, and retain a copy in the chart.

Report writing & records review

Time

Summaries for attorneys/HR

Time × hourly rate. Review chart and produce a concise narrative on request.

No-show / late cancellation

Item

Missed appointment window

Qty × fee per occurrence. Apply per policy disclosed in intake paperwork.

Save and reuse your psychiatry services and fees

Create a free account and save session pricing, medication management fees, and copays once, so nothing gets retyped.

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Common Psychiatrist Invoicing Mistakes

Invoices fail when they confuse people or miss basics. Use these fast fixes to keep payments smooth and disputes rare.

Mistake

How to fix it

Bundling multiple services into one line hides costs and invites pushback.

Itemize each service on separate lines with a short, clear description and any codes only if needed.

Using only codes without plain language confuses patients and stalls payment.

Pair every code with a simple description so anyone can understand the charge.

State minutes or units for each time-based service so totals make sense.

Show prior payments as credits and subtract them from the balance due.

Missing compliance identifiers or needed diagnosis/procedure info results in rejected reimbursement.

Include license, NPI, Tax ID, and required ICD-10/CPT details where applicable, and check local rules.

Unclear math makes the amount due hard to verify.

Display subtotal, any adjustments, previous payments, and the final balance in that order.

Psychiatrist Invoice FAQs

Bill evals, med management, psychotherapy add-ons, telepsychiatry, no-shows, forms, and crisis time using a Psychiatrists Invoice Template. Get faster payment with clear answers.

How do I bill an initial evaluation vs a med-management follow-up?

Use separate CPT codes and list time. Example line items: “Initial psychiatric evaluation (90792), 60 min, $300” and “E/M follow-up (99214), 25 min, $180.”

Can I charge for no-shows or late cancellations?

Yes, if your policy is signed and posted. Example line item: “Missed appointment fee, less than 24 hours, $75.” Rules vary—check local rules.

How do I show psychotherapy when I also adjust meds in the same visit?

List E/M plus the psychotherapy add-on with minutes. Example: “99214, 25 min, $180” and “Psychotherapy add-on 90833, 30 min, $120.”

What belongs on a telepsychiatry bill?

Include the service code, modifier 95 if used, and location. Example: “99213-95, video visit, 20 min, $140.”

Are FMLA, disability letters, or ESA paperwork billable?

Yes, if not covered by insurance and disclosed in your policy. Example: “Form completion, FMLA packet, per form, $50.” Rules vary—check local rules.

How do I price crisis or extended time?

Use crisis psychotherapy 90839 for first 60 minutes and 90840 for each additional 30 minutes, or prolonged E/M when applicable. Example: “Crisis psychotherapy 90839, 60 min, $260” and “Each addl 30 min 90840, $130.”

What should an out-of-network superbill include?

Add CPT, ICD-10, NPI, TIN, and paid amount so patients can file. Example: “99215, F33.1, NPI 1234567890, TIN 12-3456789, paid $220.”

Can I bill for care coordination with a therapist or PCP?

Yes, if it is nonduplicative and the time is documented. Example: “Care coordination, 15 min call with therapist, $45.” Rules vary—check local rules.