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See a sample rate comparisonCPT 90837 Fee Schedule
Last Verified: October 2026
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.
Psychotherapy Session 60 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 60 Minutes.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home |
| Common Modifiers | 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Treatment |
| Setting | Outpatient |
| Revenue Code | |
| Medicare Fee Schedule | $167.01 national non-facility rate (2026) · View Medicare rates for 90837 |
| Medicaid Fee Schedule | $130.69 median across 37 state programs · View Medicaid rates for 90837 |
National average reimbursement for CPT 90837 by major payers:
$158.25
$138.60
$145.90
$180.84
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CPT 90837
5 of 25 sample ratesHigher to lower in this preview
Mohammad Ikramuddin
Advocate Health And Hospitals Corporation
$281.10Published rateMaanasa Bandla
Nchmd Inc
$154.41Published rateCierra Osei-Buapim
Addiction Mental Health Services LLC / Akalaka Nursing Care Group Inc / Alba Counseling LLC
$137.52Published rateTeanika Chamberlain
Addiction Mental Health Services LLC / Hudson Liberty Medical PC / My Guiding Light Counseling PLLC
$129.61Published rateRamakrishna Rao
$94.00Published rate
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See a sample payer proposalCPT 90837 vs. Other Psychiatry Services and Procedures Codes
The CPT 90837 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 90837 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 Session 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 30 Minutes. |
| 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 Session 60 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 60 Minutes. |
| 90846-CPT | Low | Family Therapy 50 Mins, Family Therapy Provided By A Psychiatrist Or Other Health Professional For A Mental Health Condition. The Individual With The Condition May Not Be Present During The Session. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90837. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90837 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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Frequently Asked Questions
CPT Code 90837 is used by healthcare providers for psychotherapy sessions lasting 60 minutes, especially for members of a high-risk population, potentially involving immunizations via telecommunication. It addresses moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Reimbursement for CPT 90837 varies significantly by payer (e.g., UnitedHealthcare, Cigna, Aetna, BCBS/Anthem), geographic location, and specific provider contracts. National average reimbursements can range from approximately $138 to $195. For specific reimbursement rates based on your location and payer, you can use Payerprice's fee schedule lookup tool.
Factors affecting CPT 90837 fee schedules include payer type (Medicare, Medicaid, private insurance), geographic location (costs may be higher in urban areas), and provider type (hospital providers vs. private practice).
The CPT 90837 code involves more provider time (60 minutes) and moderate medical decision-making compared to lower-level codes like 90832 (30 minutes) or 90834 (45 minutes) 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.