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See a sample rate comparisonCPT 90846 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.
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.
| 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 GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Treatment |
| Setting | Outpatient |
| Medicare Fee Schedule | $105.88 national non-facility rate (2026) · View Medicare rates for 90846 |
| Medicaid Fee Schedule | $89.64 median of the 8 states in the free preview · View Medicaid rates for 90846 |
National average reimbursement for CPT 90846 by major payers:
$117.52
$103.46
$112.78
$112.37
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CPT 90846
5 of 25 sample ratesHigher to lower in this preview
Deepika Sundararaj
Daniel Barron
$314.29Published rateRoy Sanders
Emory University
$220.57Published rateRaul Ulloa Valladares
Ahn LLC
$123.48Published rateJaime Becker
Counselors Associates, Ltd.
$99.97Published rateEric Malz
$87.13Published rate
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See a sample payer proposalCPT 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-CPT | 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-CPT | Low | Psychotherapy Session 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 30 Minutes. |
| 90834-CPT | 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-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 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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