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 | • 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 90839 by major payers:
$158.39
$140.95
$154.60
$210.07
| 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 90839 | ||||||
United | 90839 | $121.87 | 1992136246 - TIFFANY JORDAN | 201838374 | MD | 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 | $126.12 | 1679689699 - PAUL BRIGGS | 208239302 - (FL) HEALING CONCEPTS LLC | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1649804675 - MEREDITH CHRYSTIE | 853187604 - (FL) TRUECANDOR BEHAVIORAL HEALTH LLC | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1700391554 - STEPHANIE KRENZELOK | 874202618 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1659135333 - ANGEL EMMANUEL | 920986068 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $120.11 | 1609978543 - PATRICIA BOERSMA | 592455781 - (FL) PSYCHOLOGICAL ASSOCIATES PA | TX | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1285700138 - ELIZABETH KUNZ | 201842049 - (FL) FERN CREEK COUNSELING CENTER | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $123.97 | 1811161540 - MILLIE ITO CUEVAS | 990941647 | AE | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1487350146 - ANNA TONSING | 743160597 - (FL) PSYCHOLOGICAL SERVICES OF JACKSONVILLE LLC | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $121.00 | 1073274403 - CHELSEA MOON-TISON | 463519576 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $111.27 | 1477995512 - COLIN DAVIS | 454276141 - (FL) SOLACE BEHAVIORAL HEALTH LLC | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1487350146 - ANNA TONSING | 743160597 - (FL) PSYCHOLOGICAL SERVICES OF JACKSONVILLE LLC | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $105.98 | 1679040471 - EMILY SPARKS | 852923259 | FL | Clinical Social Worker (1041C0700X) |
United | 90839 | $127.94 | 1376845438 - ANNA-BRITTA WHITE | 854252623 | ME | 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 Psychiatry Services and Procedures Codes
The CPT 90839 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 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 | Low | Psychiatric Diagnostic Evaluation (With No Medical Services); Medicaid Level Of Care 4, As Defined By Each State; Nurse Pracitioner Rendering Service In Collaborat |
| 90792 | Moderate | Psychiatric Diagnostic Evaluation (With No Medical Servcies) Medicaid Level Of Care 4, As Defined By Each State Nurse Pracitioner Rendering Service In Collaborati |
| 90832 | Low | Psychotherapy, 30 Minutes With Patient; Medicaid Level Of Care 7, As Defined By Each State |
| 90839 | Low | Psychotherapy For Crisis, First 60 Min 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 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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