CPT 90882 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 • HO • 95 - Telemedicine - audio and video |
| Complexity Level | Low |
National average reimbursement for CPT 90882 by major payers:
$83.95
$108.75
$86.88
$116.43
| 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 90882 | ||||||
United | 90882 | $175.86 | 1205213261 - TAMAR CACERES | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | IL | Neurodevelopmental Disabilities Physician (2084P0005X) |
United | 90882 | $153.22 | 1891921367 - KAVITA THAKKAR | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90882 | $106.58 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 90882 | $162.38 | 1235186297 - MARY DOBBINS | 376005961 - (IL) BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90882 | $168.44 | 1245252303 - MARY FAHRMEIER | 910844563 | IL | Psychiatry Physician (2084P0800X) |
United | 90882 | $160.35 | 1144203753 - HAIDAR KABBANI | 911780160 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90882 | $170.83 | 1063471159 - MARK WAINWRIGHT | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90882 | $167.44 | 1740201425 - JOSEPH DIVINCENZO | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | PA | Psychiatry Physician (2084P0800X) |
United | 90882 | $68.97 | 1710244991 - ALBA PERGJIKA | 364187449 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90882 | $126.74 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 90882 | $111.23 | 1932272952 - MOHAMMED HOMSI | 452353153 - (IL) HOMSI PEDIATRIC NEUROLOGY INC | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90882 | $167.44 | 1407023674 - THEODOTE PONTIKES | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90882 | $169.97 | 1285715847 - SHANNON JENNINGS | 362604009 - (IL) OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER | MI | Psychiatry Physician (2084P0800X) |
United | 90882 | $198.27 | 1891921367 - KAVITA THAKKAR | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 90882 | $138.83 | 1639146368 - DEBORAH COUCH | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | 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 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 |
|---|---|---|
| 90785-CPT | Low | Individual Pschophysiological Therapy Incorporatin G Biofeedback Training By And Modality (Face To Fa Ce W/Pt) (Eg Insight Oriented, Behavior Modifying Or Supportive Psychotherapy) Approx 20-30 Minut |
| 90791-CPT | Low | Psychiatric Diagnostic Evaluation (With No Medical Services); Medicaid Level Of Care 4, As Defined By Each State; Nurse Pracitioner Rendering Service In Collaborat |
| 90863-CPT | Low | Pharmacologic Management, Including Prescription And Review Of Medication, When Performed With Psychotherapy Srvcs (List Separate W/Primary Code) Synchronous Telemed Svc Rendered Real Time Audio |
| 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 |
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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