Therapy Receipt

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About the Therapy Receipt

A therapy receipt documents a paid session between a client and a licensed mental health professional — such as a psychologist, licensed counselor, or social worker. It records the session date, provider credentials, service type, and amount paid. People recreate these receipts most often for insurance reimbursement claims, FSA/HSA submissions, or personal expense records when the original was lost or never issued.

What Is On a Therapy Receipt

Section	Details
Provider Info	Therapist or practice name, license number, NPI number, address, phone
Client Info	Patient name, date of birth (optional), client ID if applicable
Session Date	Date and time of the therapy appointment
Service Description	Type of session (individual, group, couples), session length (e.g., 50 min)
CPT Code	Billing procedure code such as 90837 (60-min psychotherapy) or 90834
Diagnosis Code	ICD-10 code if required for insurance reimbursement
Fee Charged	Full session rate before any adjustments
Amount Paid	What the client actually paid out of pocket
Payment Method	Cash, credit card, check, or HSA/FSA card

Using a Therapy Receipt

Submit the receipt to your insurance carrier as a superbill to request out-of-network reimbursement — include the CPT and ICD-10 codes for faster processing.
FSA and HSA plans accept therapy receipts as qualified medical expense documentation; keep a copy for at least three years.
If your therapist does not bill insurance directly, ask them to provide a superbill, which is a detailed receipt that contains all required coding fields.
Some employers offer EAP benefits that require a receipt or session confirmation — verify what fields your HR department needs before submitting.

FAQs

What is a therapy superbill and how is it different from a regular receipt?

A superbill is a detailed therapy receipt that includes CPT procedure codes, ICD-10 diagnosis codes, and the provider's NPI number. A basic receipt may only show the date and amount paid. Insurance companies require superbill-level detail to process out-of-network reimbursement claims.

Can I use a therapy receipt for FSA or HSA reimbursement?

Yes. Mental health therapy is a qualified medical expense under FSA and HSA rules. You will need a receipt showing the provider name, service date, and amount paid. Some plan administrators also require the provider's NPI or license number.

What CPT codes appear on a therapy receipt?

Common codes include 90837 (53-minute or longer individual psychotherapy), 90834 (38 to 52 minutes), 90832 (16 to 37 minutes), and 90847 (family therapy with patient present). The correct code depends on session length and format.

How do I recreate a therapy receipt I lost?

Contact your therapist or their billing department and request a duplicate receipt or superbill for the session date in question. If you are recreating one for record-keeping purposes, use a template that includes provider credentials, CPT and ICD-10 codes, session date, and payment details.

Related Templates

About the Therapy Receipt

What Is On a Therapy Receipt

Section	Details
Provider Info	Therapist or practice name, license number, NPI number, address, phone
Client Info	Patient name, date of birth (optional), client ID if applicable
Session Date	Date and time of the therapy appointment
Service Description	Type of session (individual, group, couples), session length (e.g., 50 min)
CPT Code	Billing procedure code such as 90837 (60-min psychotherapy) or 90834
Diagnosis Code	ICD-10 code if required for insurance reimbursement
Fee Charged	Full session rate before any adjustments
Amount Paid	What the client actually paid out of pocket
Payment Method	Cash, credit card, check, or HSA/FSA card

Using a Therapy Receipt

Submit the receipt to your insurance carrier as a superbill to request out-of-network reimbursement — include the CPT and ICD-10 codes for faster processing.

FSA and HSA plans accept therapy receipts as qualified medical expense documentation; keep a copy for at least three years.

If your therapist does not bill insurance directly, ask them to provide a superbill, which is a detailed receipt that contains all required coding fields.

Some employers offer EAP benefits that require a receipt or session confirmation — verify what fields your HR department needs before submitting.

FAQs

What is a therapy superbill and how is it different from a regular receipt?

Can I use a therapy receipt for FSA or HSA reimbursement?

What CPT codes appear on a therapy receipt?

How do I recreate a therapy receipt I lost?

Therapy Receipt

About the Therapy Receipt

What Is On a Therapy Receipt

Using a Therapy Receipt

FAQs

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Therapy Receipt

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About the Therapy Receipt

What Is On a Therapy Receipt

Using a Therapy Receipt

FAQs

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