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See a sample rate comparisonHealthcare 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 |
| Common Modifiers | HO 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90882 |
| Medicaid Fee Schedule | $21.90 median of the 5 states in the free preview · View Medicaid rates for 90882 |
National average reimbursement for CPT 90882 by major payers:

$83.95

$108.75

$86.88

$115.89
Choose a payer to see a sample of rates for CPT 90882.
Kavita Thakkar
Pediatric Faculty Foundation In
Joseph Divincenzo
Loyola University Medical Center
Usha Appalaneni
Advocate Health And Hospitals Corporation
Mohammed Homsi
Homsi Pediatric Neurology Inc
Alba Pergjika
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 90882 vs. Other Psychiatry Services and Procedures Codes
The CPT 90882 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 90882 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 90882. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90882 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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