CPT 90849 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 |
| Common Modifiers | • None • 95 - Telemedicine - audio and video • GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
National average reimbursement for CPT 90849 by major payers:
$45.46
$36.40
$47.70
$50.80
| 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 90849 | ||||||
United | 90849 | $101.55 | 1215957568 - DANIEL GIACOMO | 363738206 - NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $39.13 | 1760412621 - RHONDA LAMPEN | 521874111 - UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $47.13 | 1457397903 - RAMAKRISHNA RAO | 882121598 - GEODE HEALTH OF TEXAS PLLC | CA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90849 | $81.25 | 1699271031 - BRENT SCHNIPKE | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $39.13 | 1639139058 - NASHWA HASABOU | 364314354 | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $33.27 | 1922328426 - MAJED DALLOUL | 1922328426 - (IL) MAJED DALLOUL | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $39.75 | 1962664789 - JAMIE EVANS | 811324691 | VA | Psychiatry Physician (2084P0800X) |
United | 90849 | $40.00 | 1245674159 - KHOA NGUYEN | 223500420 - CENTER FOR FAMILY GUIDANCE, PC | MO | Psychiatry Physician (2084P0800X) |
United | 90849 | $38.06 | 1679739148 - THANH THAI | 366006541 - (IL) VETERANS ASSISTANCE COMMISSION C | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $101.05 | 1255771689 - TOM VADAKARA | 205996177 | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $39.13 | 1730263617 - MARK ALTER | 223500420 - CENTER FOR FAMILY GUIDANCE, PC | WI | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90849 | $42.49 | 1801813266 - GREGG BEAN | 741586031 | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 90849 | $27.95 | 1871601989 - ROHIDAS PATIL | 371098039 - (IL) ROHIDAS T PATIL MD SC | IL | Psychiatry Physician (2084P0800X) |
United | 90849 | $46.65 | 1689787426 - KAREN SEVERSON | 541217184 - SENTARA MEDICAL GROUP | VA | Psychiatry Physician (2084P0800X) |
United | 90849 | $101.55 | 1790311710 - JASON ONUGHA | 363738206 - NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | IL | 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 90849 vs. Other Psychiatry Services and Procedures Codes
The CPT 90849 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 90849 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 |
|---|---|---|
| 90832-CPT | Low | Psychotherapy, 30 Minutes With Patient; Medicaid Level Of Care 7, As Defined By Each State |
| 90837-CPT | Low | Psychotherapy 60 Minutes Member Of High Risk Population-Use W Immunizations Via Interactive Audio And Video Telecommunication |
| 90846-CPT | Low | Family Psychotherapy(Without Patient Present) Medicaid Level Of Care 5, As Defined By Each State Nurse Pracitioner Rendering Service In Collaborati |
| 90849-CPT | Low | Multifamily Group Psychotherapy Substance Abuse Program. Repeat Procedure Or Serv Ice By Same Physician Or Other Qualified Health Ca Re Professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90849. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90849 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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