CPT 90834 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Psychiatry Services and Procedures |
| Common Place of Service | • 11 - Office • None • 10 - Telehealth in Patient's Home |
| Common Modifiers | • None • 95 - Telemedicine - audio and video • GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
National average reimbursement for CPT 90834 by major payers:
$111.90
$94.81
$107.19
$135.73
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 90834 | ||||||
United | 90834 | $98.08 | 1285398008 - REBECCA OTENG-MENSAH | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | WA | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90834 | $96.41 | 1225040686 - NIRILLA ANTHONIMUTHU | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | Psychiatry Physician (2084P0800X) |
United | 90834 | $206.36 | 1568868834 - ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, BETH ISRAEL MEDICAL GROUP OF MOUNT SINAI | 383931355 | NY | Internal Medicine Physician (207R00000X) |
United | 90834 | $98.08 | 1174125322 - DOMINIQUE SQUIRE | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | NC | Clinical Social Worker (1041C0700X) |
United | 90834 | $149.35 | 1376063370 - ABBY FREDRICKSON | 390808509 - THE MONROE CLINIC INC | MN | Psychiatry Physician (2084P0800X) |
United | 90834 | $98.08 | 1700056033 - LATONYA CARROLL | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | OH | Addiction Medicine (Family Medicine) Physician (207QA0401X) |
United | 90834 | $86.54 | 1386406205 - SHELLEY COOK | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | IN | Clinical Social Worker (1041C0700X) |
United | 90834 | $125.00 | 1598171548 - AMIR BADAR | 814289393 - (IL) LIMITLESS MEDICAL GROUP LTD | IL | Psychiatry Physician (2084P0800X) |
United | 90834 | $86.54 | 1689902769 - WILLIE PALMER | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | GA | Professional Counselor (101YP2500X) |
United | 90834 | $98.08 | 1003571761 - MALLIGA OBILISUNDAR DELANEY | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | NY | Clinical Psychologist (103TC0700X) |
United | 90834 | $115.38 | 1982052098 - EVA OGBUOKIRI | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | MD | Family Nurse Practitioner (363LF0000X) |
United | 90834 | $71.73 | 1073043220 - NANA CUDJOE | 882977235 | IL | Psychiatry Physician (2084P0800X) |
United | 90834 | $98.08 | 1720255961 - CLARA PIEH | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | OH | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90834 | $119.76 | 1487903019 - NEELAMBIKA REVADIGAR | 770460802 | NY | Psychiatry Physician (2084P0800X) |
United | 90834 | $98.08 | 1881352789 - FOLUKE AKINOLA | 862493019 - MENTAL HEALTH SPECIALTY GROUP PA | NY | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 90834 vs. Other Psychiatry Services and Procedures Codes
The CPT 90834 code is part of the Medicine Services and Procedures services used for Psychiatry Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90834 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90832-CPT | Low | Psychotherapy, 30 Minutes With Patient; Medicaid Level Of Care 7, As Defined By Each State |
| 90834-CPT | Low | Psychotherapy, 45 Minutes With The Pt And/Or Famil Y Member. Pt Must Be Pressent For All Or Some Of The Service. Focus Of The Session Is Still On The Pt And Not On The Family Unit. |
| 90837-CPT | Low | Psychotherapy 60 Minutes Member Of High Risk Population-Use W Immunizations Via Interactive Audio And Video Telecommunication |
| 90846-CPT | Low | Family Psychotherapy(Without Patient Present) Medicaid Level Of Care 5, As Defined By Each State Nurse Pracitioner Rendering Service In Collaborati |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90834. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90834 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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