CPT 90839 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 | Psychotherapy for Crisis Services and Procedures Other Psychiatric Diagnostic 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 |
| Medicare Fee Schedule | View Medicare rates for 90839 |
National average reimbursement for CPT 90839 by major payers:
$158.39
$140.95
$154.60
$221.22
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 90839 | $111.27 | 1760554471 - SUSAN SCHWARTZ-MERCER | 592447905 - (FL) MERCER MERCER CONSULTANTS INC | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $177.08 | 1013673995 - JENNIFER SCHMANSKI | 823570842 - (CO) COLORADO INHOME COUNSELING | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $127.94 | 1427547348 - TAHRA SEALY | 854252623 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $153.55 | 1871077008 - AMY MANKO | 591520581 - (FL) FERD AND GLADYS ALPERT JEWISH FAMILY & CHILDRENS SVC OF PLM BCH | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $138.13 | 1548517907 - SOPHONIE GEDEON | 852938829 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $137.52 | 1578987293 - SAMANTHA BOATWRIGHT | 841856765 | GA | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1871784132 - CAROLE BEZMEN-GOLDSTEIN | 200059057 - (FL) COMPREHENSIVE COUNSELING AND THERAPY LLC | GA | Clinical Social Worker (1041C0700X) |
United | 90839 | $103.72 | 1700174752 - TARA LURZ | 461621659 - LAWRENCE GENEN, M.D., INC. A PROFESSIONAL CORPORATION | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $127.87 | 1811209471 - MARIA CACACE-MELE | 871263738 - (FL) STRENGTH HEALING LLC | CT | Clinical Social Worker (1041C0700X) |
United | 90839 | $127.94 | 1588071344 - SHANI JOHNSON | 832675429 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $121.87 | 1619389749 - ALICIA GOMES | 872474519 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $125.54 | 1699430405 - JOSHUA GOLDMAN | 852938829 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $111.27 | 1467617530 - TAMARA IRONS | 883345232 - (FL) ELLIE MENTAL HEALTH OF NAPLES AT 75 VINEYARDS BLVD | NV | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1598101412 - ANDREW CARINI | 463811729 - (FL) SUNCOAST COUNSELING LLC | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $125.54 | 1629441720 - SUZELLE GUINART | 852938829 | FL | Clinical Social Worker (1041C0700X) |
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 90839 vs. Other Other Psychiatric Diagnostic Procedures Codes
The CPT 90839 code is part of the Psychotherapy for Crisis Services and Procedures services used for Other Psychiatric Diagnostic 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 90839 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 |
|---|---|---|
| 90791-CPT | Low | Mental Health Evaluation, An Assessment By A Mental Health Professional Of A Persons Mental Health Status. This Is Conducted Through An Interview Exam Or Nonverbal Methods. The Mental Health Professional May Communicate With Family Or Other People. |
| 90792-CPT | Moderate | Mental Health Eval W/Services, An Assessment By A Psychiatrist Of A Persons Mental Health Status Conducted Through An Interview Exam Or Nonverbal Methods. It Includes Additional Medical Services Such As Pharmacy Or Other Diagnostic Evaluation. |
| 90832-CPT | Low | Psychotherapy Session 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 30 Minutes. |
| 90839-CPT | Low | Crisis Therapy 60 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional For Crisis Management; 60 Minutes. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90839. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90839 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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