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See a sample rate comparisonCPT 90845 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.
Mental Health Therapy, Primarily Talk Therapy Provided By A Psychiatrist Or Other Therapist. The Therapy Often Will Focus On Interaction Between The Conscious And Unconscious Aspects Of The Mind.
| 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 HO |
| Complexity Level | Low |
| Medicare Fee Schedule | $109.22 national non-facility rate (2026) · View Medicare rates for 90845 |
| Medicaid Fee Schedule | $89.98 median of the 8 states in the free preview · View Medicaid rates for 90845 |
National average reimbursement for CPT 90845 by major payers:
$107.18
$118.71
$112.21
$129.23
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CPT 90845
5 of 25 sample ratesHigher to lower in this preview
Yu Zhang
Northwestern Memorial Healthcare
$243.75Published rateKavita Thakkar
Pediatric Faculty Foundation In
$172.60Published rateMatthew Niedzwiecki
Loyola University Medical Center
$156.91Published rateAmirreza Fallahi
Riverside Health System
$114.45Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$36.52Published rate
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See a sample payer proposalCPT 90845 vs. Other Psychiatry Services and Procedures Codes
The CPT 90845 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 90845 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 |
|---|---|---|
| 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. |
| 90845-CPT | Low | Mental Health Therapy, Primarily Talk Therapy Provided By A Psychiatrist Or Other Therapist. The Therapy Often Will Focus On Interaction Between The Conscious And Unconscious Aspects Of The Mind. |
| 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. |
| 90885-CPT | Low | Psychiatric Evaluation Of Hosp, Psychiatric Evaluation Of Hospital Records Otherpsychiatric Reports Psychometric Andor Projectivetests And Other Accumulated Data For Medical Di Agnostic Purposes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90845. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90845 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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