CPT 90836 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 | Moderate |
National average reimbursement for CPT 90836 by major payers:
$92.08
$97.56
$110.06
$139.31
| 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 90836 | ||||||
United | 90836 | $83.40 | 1790754745 - PLANNED PARENTHOOD OF ILLINOIS, PLANNED PARENTHOOD CHICAGO AREA | 362170901 - (IL) PLANNED PARENTHOOD OF ILLINOIS | IL | Clinic/Center (261Q00000X) |
United | 90836 | $88.11 | 1689023152 - MUSTAFA TAI | 237098532 - SARAH BUSH LINCOLN HEALTH CENTER | TX | Psychiatry Physician (2084P0800X) |
United | 90836 | $78.63 | 1639499353 - DAVID HORVATH | 274322240 - FOREFRONT TELECARE, INC. | FL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90836 | $92.51 | 1306286364 - ERIC SANTOS | 223316007 - BARNABAS HEALTH MEDICAL GROUP P C | FL | Psychiatry Physician (2084P0800X) |
United | 90836 | $92.50 | 1396278198 - JAMES FREE | 811324691 | NJ | Psychiatry Physician (2084P0800X) |
United | 90836 | $68.12 | 1962007880 - SABITIYU FOLAWIYO-SABA | 363305449 - (IL) MOUNT SINAI COMMUNITY FOUNDATION | IL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90836 | $329.42 | 1982947313 - CLAIRE TWARK | 1003203936 - (MA) JOSEPH TAYLOR | MA | Psychiatry Physician (2084P0800X) |
United | 90836 | $88.11 | 1336689819 - PANCHAMI THOMAS | 824696180 - (FL) NEWLIGHT PSYCHIATRIC SERVICES | FL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90836 | $85.00 | 1558591248 - ADEWUMI ADEBOMOJO | 460787784 | GA | Psychiatry Physician (2084P0800X) |
United | 90836 | $88.70 | 1598185472 - JAMIE TAYLOR | 852938829 | FL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90836 | $88.11 | 1821097924 - AFTAB POSHNI | 363994258 - (IL) HORIZONS BEHAVIORAL HEALTH LLC | IL | Psychiatry Physician (2084P0800X) |
United | 90836 | $344.23 | 1073976221 - DEEPIKA SUNDARARAJ | 1306013065 - (MA) MARCELA ALMEIDA | MA | Psychiatry Physician (2084P0800X) |
United | 90836 | $344.23 | 1689657033 - ANNA MURIEL | 1528687464 - (MA) NADIA CACODCAR | MA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90836 | $143.89 | 1518012590 - LAURA LONG | 882977235 | IL | Psychiatry Physician (2084P0800X) |
United | 90836 | $88.11 | 1366641458 - LOK WONG | 273818647 | GA | Psychiatry Physician (2084P0800X) |
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 90836 vs. Other Psychiatry Services and Procedures Codes
The CPT 90836 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 90836 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 |
|---|---|---|
| 90833 | Low | Psychotherapy 30 Minutes With Patient When Performed With An Evaluation And Management Service (List Separately In Addition To The Code For Primary Procedure). (Desc Revised 01/01/2017) |
| 90836 | Low | Psychotherapy 45 Minutes With Patient When Performed With An Evaluation And Management Service (List Separately In Addition To The Code For Primary Procedure). (Desc Revised 01/01/2017) |
| 90838 | Low | Psychotherapy 60 Minutes With Patient When Performed With An Evaluation And Management Service (List Separately In Addition To The Code For Primary Procedure). (Desc Revised 01/01/2017) |
| 90840 | Low | Psychotherapy For Crisis; Each Additional 30 Minutes (List Separately In Addition To Code For Primary Service) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90836. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90836 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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