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See a sample rate comparisonCPT 90880 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.
Therapy Using Hypnosis, Hypnotherapy. Therapy Using A Trance-Like State Of Deep Relaxation. Commonly Used For Pain Control To Relieve Anxiety And Stress-Related Illness Or To Change Behavior.
| 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 AJ |
| Complexity Level | Low |
| Medicare Fee Schedule | $103.88 national non-facility rate (2026) · View Medicare rates for 90880 |
| Medicaid Fee Schedule | $87.37 median of the 7 states in the free preview · View Medicaid rates for 90880 |
National average reimbursement for CPT 90880 by major payers:
$121.58
$137.58
$106.17
$143.75
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CPT 90880
5 of 25 sample ratesHigher to lower in this preview
Cyril Appiagyei
Northwestern Memorial Healthcare
$269.69Published rateJohn Millichap
Pediatric Faculty Foundation In
$201.92Published rateAdventist Health Partners, Inc, Salt Creek Therapy Center
Adventist Midwest Health
$158.11Published rateAsra Akbar
$135.80Published rateSteve Herrin
Veterans Assistance Commission C
$82.26Published rate
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See a sample payer proposalCPT 90880 vs. Other Psychiatry Services and Procedures Codes
The CPT 90880 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 90880 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 |
|---|---|---|
| 90863-CPT | Low | Pharmacologic Management Incl, Pharmacologic Management Including Prescription And Review Of Medication When Performed With Psychotherapy Services (List Separately In Addition To The Code For Primary Procedure) |
| 90880-CPT | Low | Therapy Using Hypnosis, Hypnotherapy. Therapy Using A Trance-Like State Of Deep Relaxation. Commonly Used For Pain Control To Relieve Anxiety And Stress-Related Illness Or To Change Behavior. |
| 90882-CPT | Low | Environmental Intervention For Medication Management Purposes On A Psychiatric Patients Behalf With Agencies, Employers Or Institutions; Nurse Pracitioner Rendering Service In Collaborati |
| 90885-CPT | Low | Psychiatric Evaluation Of Hosp, Psychiatric Evaluation Of Hospital Records Otherpsychiatric Reports Psychometric Andor Projectivetests And Other Accumulated Data For Medical Di Agnostic Purposes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90880 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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