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See a sample rate comparisonCPT 90849 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.
Multifamily Group Psychotherapy Substance Abuse Program. Repeat Procedure Or Serv Ice By Same Physician Or Other Qualified Health Ca Re Professional
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| Medicare Fee Schedule | $40.42 national non-facility rate (2026) · View Medicare rates for 90849 |
| Medicaid Fee Schedule | $33.745 median of the 8 states in the free preview · View Medicaid rates for 90849 |
National average reimbursement for CPT 90849 by major payers:
$45.46
$36.40
$47.70
$50.75
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CPT 90849
5 of 25 sample ratesHigher to lower in this preview
Daniel Giacomo
Northshore University Healthsystem Faculty Practice Associates
$101.55Published rateMatthew Niedzwiecki
Loyola University Medical Center
$57.25Published rateKhoa Nguyen
Center For Family Guidance, PC
$40.00Published rateJackie Rajani
Diya Psychiatry Sc
$39.13Published rateSteven Sharp
$27.95Published rate
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See a sample payer proposalCPT 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 Session 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 30 Minutes. |
| 90837-CPT | Low | Psychotherapy Session 60 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 60 Minutes. |
| 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. |
| 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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