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See a sample rate comparisonCPT 90853 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.
Group Psychotherapy(Other Than Of A Multiple-Fam Medicaid Level Of Care 4 As Defined By Each State Nurse Pracitioner Rendering Service In Collaborati Medicaid Level Of Care 5 As Defined By Each
| 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 |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Treatment |
| Setting | Outpatient |
| Revenue Code | |
| Medicare Fee Schedule | $30.40 national non-facility rate (2026) · View Medicare rates for 90853 |
| Medicaid Fee Schedule | $25.39 median of the 8 states in the free preview · View Medicaid rates for 90853 |
National average reimbursement for CPT 90853 by major payers:
$34.35
$38.70
$43.66
$40.01
Compare published rates across providers.
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CPT 90853
5 of 25 sample ratesHigher to lower in this preview
Christine Olson
Olson Psycare PC
$81.25Published rateAnita Szalontai
Neighborhood Psychiatric Associates Of Manhattan PLLC
$43.06Published rateCheryl Lopez
Cheryl Lopez Therapy
$40.00Published rateTeresa Sripada
The Board Of Trustees Of The University Of Illinois
$38.45Published rateAyleen Alago
Addiction Mental Health Services LLC / Hudson Liberty Medical PC / My Guiding Light Counseling PLLC
$23.48Published rate
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See a sample payer proposalCPT 90853 vs. Other Psychiatry Services and Procedures Codes
The CPT 90853 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 90853 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. |
| 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. |
| 90837-CPT | Low | Psychotherapy Session 60 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 60 Minutes. |
| 90853-CPT | Low | Group Psychotherapy(Other Than Of A Multiple-Fam Medicaid Level Of Care 4 As Defined By Each State Nurse Pracitioner Rendering Service In Collaborati Medicaid Level Of Care 5 As Defined By Each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90853. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90853 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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