CPT 90846 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 90846 by major payers:
$117.52
$103.46
$112.78
$131.32
| 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 90846 | ||||||
United | 90846 | $104.97 | 1497412308 - ASHLEY MARTINEZ | 1669837506 - (FL) WESGUER VILCE | FL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90846 | $88.20 | 1235620527 - PRECIOUS SPENCER | 271979895 - (MI) NEW LIFE ALTERNATIVES LLC | FL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90846 | $314.29 | 1962727966 - BENJAMIN YUDKOFF | 1487817128 - (IL) QURAT UL AIN KHAN | MA | Psychiatry Physician (2084P0800X) |
United | 90846 | $300.76 | 1083681563 - SUSAN BLOCK | 1720283161 - (MA) NOMI LEVY-CARRICK | MA | Psychiatry Physician (2084P0800X) |
United | 90846 | $224.99 | 1124478037 - LISA BOSCO | 43148387 - (MA) TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC | MA | Psychiatry Physician (2084P0800X) |
United | 90846 | $92.62 | 1164032553 - ILEANA MORCILLO | 821745795 - (FL) COMPREHENSIVE COUNSELING AND WELLNESS CENTER LLC | FL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90846 | $98.75 | 1003250101 - TYREASEA JOHNSON-MASON | 873043970 | NJ | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90846 | $101.69 | 1982658720 - SUSAN FREEDMAN | 42474435 - (MA) NASIR A. KHAN | MA | Adult Psychiatric/Mental Health Registered Nurse (163WP0809X) |
United | 90846 | $56.11 | 1518726199 - AMBER HAYES | 621868402 - (FL) WEST FLORIDA BEHAVIORAL HEALTH INC | FL | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90846 | $300.76 | 1740805886 - JAMES NAUGHTON | 1083695464 - (MA) JOHN FROMSON | IL | Psychiatry Physician (2084P0800X) |
United | 90846 | $128.08 | 1396247359 - OMONIYI MUTIU | 582010734 - PERSONAL RECOVERY NETWORK | GA | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90846 | $101.69 | 1184958480 - KATE FOGARTY | 852463774 - (MA) PAX PSYCHIATRIC ASSOCIATES PLLC | MA | Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X) |
United | 90846 | $220.57 | 1528074101 - ROY SANDERS | 581537752 - EMORY UNIVERSITY | GA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90846 | $123.48 | 1821579368 - LAURA MCCARTHY | 824697998 - (NJ) ABBY ROAD PSYCHIATRIC SERVICES, LLC | NJ | Psychiatric/Mental Health Nurse Practitioner (363LP0808X) |
United | 90846 | $314.29 | 1073976221 - DEEPIKA SUNDARARAJ | 1457707333 - (MA) DANIEL BARRON | MA | 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 90846 vs. Other Psychiatry Services and Procedures Codes
The CPT 90846 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 90846 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 |
|---|---|---|
| 90785 | Low | Individual Pschophysiological Therapy Incorporatin G Biofeedback Training By And Modality (Face To Fa Ce W/Pt) (Eg Insight Oriented, Behavior Modifying Or Supportive Psychotherapy) Approx 20-30 Minut |
| 90832 | Low | Psychotherapy, 30 Minutes With Patient; Medicaid Level Of Care 7, As Defined By Each State |
| 90834 | 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. |
| 90846 | 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 90846. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90846 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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