CPT 90837 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 90837 by major payers:
$158.25
$138.60
$145.90
$195.75
| 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 90837 | ||||||
United | 90837 | $94.00 | 1457397903 - RAMAKRISHNA RAO | 463519576 | VA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90837 | $147.07 | 1922109008 - AMY BETH TAUBLIEB | 161591414 | NY | Clinical Psychologist (103TC0700X) |
United | 90837 | $181.25 | 1891889812 - PRADEEP THAPAR | 364373167 - (IL) PRADEEP THAPAR, MD, SC | IL | Psychiatry Physician (2084P0800X) |
United | 90837 | $281.10 | 1285712851 - MOHAMMAD IKRAMUDDIN | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90837 | $151.61 | 1487050050 - HEATHER FICHTEL | 832675429 - 1 LOVE WELLNESS SOCIETY LLC / A SHAYNE ABELKOP PHD PC / ACW SOLUTIONS | NY | Psychologist (103T00000X) |
United | 90837 | $137.52 | 1184051286 - CIERRA OSEI-BUAPIM | 841856765 - ADDICTION MENTAL HEALTH SERVICES LLC / AKALAKA NURSING CARE GROUP INC / ALBA COUNSELING LLC | NY | Clinical Social Worker (1041C0700X) |
United | 90837 | $154.41 | 1104076751 - DONNA SIMONS | 882794043 - MENTAL HEALTH SPECIALTY GROUP PA / NOCD FLORIDA BEHAVIORAL HEALTH PA / NOCD INC | NY | Mental Health Counselor (101YM0800X) |
United | 90837 | $154.41 | 1063972404 - MAANASA BANDLA | 331075317 - NCHMD INC | VA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90837 | $129.61 | 1427489434 - TEANIKA CHAMBERLAIN | 994923676 - ADDICTION MENTAL HEALTH SERVICES LLC / HUDSON LIBERTY MEDICAL PC / MY GUIDING LIGHT COUNSELING PLLC | NY | Clinical Social Worker (1041C0700X) |
United | 90837 | $115.81 | 1760152334 - RUTHANN CRAWFORD | 921215970 - (IL) NOCD FLORIDA BEHAVIORAL HEALTH PA / OCD NEW YORK MEDICAL SERVICES PC | NY | Mental Health Counselor (101YM0800X) |
United | 90837 | $130.66 | 1356443998 - KATHRYN WRIGHT | 852938829 - A FAMILY PLACE / ADDICTION MENTAL HEALTH SERVICES LLC / ADVENTIST HEALTH SYSTEM SUNBELT INC | NY | Clinical Social Worker (1041C0700X) |
United | 90837 | $108.00 | 1457397903 - RAMAKRISHNA RAO | 463519576 | KY | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90837 | $131.63 | 1487372405 - BRITTNEY COLF | 882977235 - LAWRENCE GENEN MD INC / MCCD FL PSYCHIATRY SERVICES PA / MORGANANNE HOUSE MS LPC | NY | Mental Health Counselor (101YM0800X) |
United | 90837 | $110.30 | 1972146116 - HANNAH MIDLAR | 465458988 - (NY) DASKALAKIS PSYCHOLOGICAL SERVICES PC | NY | Clinical Social Worker (1041C0700X) |
United | 90837 | $133.77 | 1548635071 - JULIA JARROLD | 832675429 - 1 LOVE WELLNESS SOCIETY LLC / A SHAYNE ABELKOP PHD PC / ACW SOLUTIONS | NY | Addiction (Substance Use Disorder) Counselor (101YA0400X) |
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 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, 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 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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