Consultation-Liaison Psychiatry EHR and Billing

Consultation-liaison psychiatrists help medical teams with patients’ mental health in the hospital. XEHR documents consults quickly and bills them correctly.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Hospitalized after a heart attack; confused and agitated at night.

F05 Delirium due to known physiological condition

ReviewSign note

Diagnosis carried to the claimF05

THE HARD PARTS

What makes consultation-liaison psychiatry billing hard

Urgent questions from medical teams

Consults about delirium, agitation, capacity or suicide risk need a fast answer that the medical team can act on, not a long narrative.

Capacity evaluations must be specific

Decision-making capacity is assessed for a particular decision. A vague finding leaves the team without guidance and can create legal risk.

Collaborative care is billed differently

Outpatient collaborative care with primary care is billed monthly by the primary care practice and depends on documented care manager time and psychiatric review.

WHERE THE WORK HAPPENS

How consultation-liaison psychiatry care is delivered and billed

Consultation-liaison psychiatrists work in general hospitals and in collaborative care programs with primary care. Hospital consults are billed with the hospital place of service; collaborative care is billed monthly by the primary care practice.

What payers check on consultation-liaison psychiatry claims

Hospital consults are billed as hospital visits under most payers.
Collaborative care requires a care manager and monthly time.
Delirium is coded with its physiological cause.
Capacity findings should be specific to the decision.
Telehealth requires payer-specific codes.

Common consultation-liaison psychiatry diagnoses ICD-10-CM

F05	Delirium due to known physiological condition
F32.A	Depression, unspecified
F43.21	Adjustment disorder with depressed mood
F45.1	Undifferentiated somatoform disorder
F10.230	Alcohol dependence with withdrawal, uncomplicated
R41.82	Altered mental status, unspecified

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A consultation-liaison psychiatry visit, start to payment

1
Receive the consult question

The team’s question and the patient’s medical course are visible before the evaluation.
2
Evaluate

Mental status, risk, delirium screening and capacity are documented.
3
Advise the team

Recommendations are filed to the shared chart and discussed with the primary team.
4
Bill the consult

The consult goes out as a hospital visit with the level the note supports.

How XEHR helps

From the consultation-liaison psychiatry visit to the payment

Fast consult notesThe AI drafts the consult from the psychiatrist’s dictation for quick review and signature.
Clear capacity findingsCapacity is documented against the specific decision, with the reasoning the team needs.
Monthly care trackedCollaborative care time and case reviews are recorded through the month.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for consultation-liaison psychiatry

AI medical billing for consultation-liaison psychiatry practices

XEHR is an agentic EHR: AI agents do the administrative work around every consultation-liaison psychiatry visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Hospital consults are billed as hospital visits under most payers.
Collaborative care requires a care manager and monthly time.
Delirium is coded with its physiological cause.
Capacity findings should be specific to the decision.

Around the visit

Agents run on their own

Coverage checked before each consultation-liaison psychiatry visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a consultation-liaison psychiatry EHR

Ask every vendor, including us. The answers show whether a system was built for consultation-liaison psychiatry work or only adapted to it.

Ask us on a demo

Can consult notes be drafted quickly?
Are capacity findings documented clearly?
Is collaborative care time tracked?
Is delirium coded with its cause?
Can telehealth consults be billed?

QUESTIONS

Consultation-Liaison Psychiatry practices ask us

Does XEHR support psychiatric consult services?

Yes. Hospital consults are documented and billed.

Can XEHR bill collaborative care?

Yes. Care manager time is tracked monthly.

Does XEHR document capacity evaluations?

Yes. Findings are recorded clearly.

Can consults be done by telehealth?

Yes. Telehealth consults are documented and billed.

Does XEHR support emergency psychiatry?

Yes. Emergency evaluations are documented and billed.

Can recommendations reach the medical team?

Yes. Notes are filed to the shared chart.

Can follow-up be arranged after discharge?

Yes. Follow-up is scheduled from the record.

How much does XEHR cost for a consultation-liaison psychiatry practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a consultation-liaison psychiatry practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for consultation-liaison psychiatry

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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