CPT 90845 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 | Other Psychotherapy Procedures Other Psychiatric Diagnostic Procedures |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home None |
| Common Modifiers | None 95 - Telemedicine - audio and video HO |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90845 |
National average reimbursement for CPT 90845 by major payers:
$107.18
$118.71
$112.21
$129.23
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 90845 | $214.36 | 1225211600 - JOHN MILLICHAP | 911352172 - MULTICARE HEALTH SYSTEM | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90845 | $36.52 | 1366400376 - SUNRISE HOME HEALTH CARE INC. | 650307774 - (FL) SUNRISE HOME HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 90845 | $113.37 | 1235122029 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 90845 | $141.66 | 1568752665 - ANDREW KNOX | 363907436 - ROCKFORD HEALTH PHYSICIANS | WI | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90845 | $172.60 | 1891921367 - KAVITA THAKKAR | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | PA | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90845 | $214.36 | 1225211600 - JOHN MILLICHAP | 753186720 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90845 | $116.75 | 1780847020 - AMBER KAZI | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | IL | Psychiatry Physician (2084P0800X) |
United | 90845 | $193.49 | 1679526784 - ELTON SMITH | 910844563 | VA | Psychiatry Physician (2084P0800X) |
United | 90845 | $243.75 | 1568921476 - YU ZHANG | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatry Physician (2084P0800X) |
United | 90845 | $128.75 | 1225211600 - JOHN MILLICHAP | 753186720 | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90845 | $106.88 | 1801813266 - GREGG BEAN | 741586031 | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 90845 | $72.91 | 1730214206 - KALYANI GAVINI | 371158318 - (IL) SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC | MO | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90845 | $113.13 | 1528695681 - MAYA CLOYD | 351913875 - INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS | IL | Psychiatry Physician (2084P0800X) |
United | 90845 | $164.57 | 1104046630 - SYED WALIUDDIN | 320552496 | IL | Psychiatry Physician (2084P0800X) |
United | 90845 | $156.91 | 1740201425 - JOSEPH DIVINCENZO | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | PA | Psychiatry Physician (2084P0800X) |
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 90845 vs. Other Other Psychiatric Diagnostic Procedures Codes
The CPT 90845 code is part of the Other Psychotherapy 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 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. |
| 90840-CPT | Low | Crisis Therapy 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional For Crisis Management; 30 Minutes. |
| 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. |
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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