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See a sample rate comparisonCPT 90885 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.
Psychiatric Evaluation Of Hosp, Psychiatric Evaluation Of Hospital Records Otherpsychiatric Reports Psychometric Andor Projectivetests And Other Accumulated Data For Medical Di Agnostic Purposes
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 77 - Repeat procedure by another physician U4 |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 90885 |
| Medicaid Fee Schedule | $34.125 median of the 6 states in the free preview · View Medicaid rates for 90885 |
National average reimbursement for CPT 90885 by major payers:
$61.81
$63.56
$58.00
$70.25
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CPT 90885
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$280.61Published rateJoseph Pepitone
Northshore University Healthsystem Faculty Practice Associates
$99.31Published rateHuma Abbas
Advocate Health And Hospitals Corporation
$86.72Published rateJyoti Warikoo
Mount Sinai Community Foundation
$63.91Published rateDa Pediatric Rehabilitation
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90885 vs. Other Psychiatry Services and Procedures Codes
The CPT 90885 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 90885 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 |
|---|---|---|
| 90791-CPT | Low | Mental Health Evaluation, An Assessment By A Mental Health Professional Of A Persons Mental Health Status. This Is Conducted Through An Interview Exam Or Nonverbal Methods. The Mental Health Professional May Communicate With Family Or Other People. |
| 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. |
| 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 90885. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90885 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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