CPT 90899 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 | Other Psychiatric Services or Procedures Other Psychiatric Diagnostic Procedures |
| Common Place of Service | 11 - Office 53 - Community Mental Health Center |
| Common Modifiers | None 95 - Telemedicine - audio and video U8 |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90899 |
National average reimbursement for CPT 90899 by major payers:
$388.22
$84.15
$307.23
$336.72
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 90899 | $66.30 | 1164474755 - METHODIST MEDICAL CENTER OF ILLINOIS | 370661223 - METHODIST MEDICAL CENTER OF ILLINOIS | IL | General Acute Care Hospital (282N00000X) |
United | 90899 | $92.48 | 1164427431 - ESSENT HEALTHCARE, NASHOBA VALLEY MEDICAL CENTER | 274157855 | MA | General Acute Care Hospital (282N00000X) |
United | 90899 | $125.62 | 1609807122 - SPARTANBURG MEDICAL CENTER | 576000934 | SC | General Acute Care Hospital (282N00000X) |
United | 90899 | $48.43 | 1851798342 - PRIME HEALTHCARE SERVICES LOWER BUCKS LLC, LOWER BUCKS HOSPITAL | 460750728 - (PA) PRIME HEALTHCARE SERVICES LOWER BUCKS, LLC | PA | General Acute Care Hospital (282N00000X) |
United | 90899 | $112.16 | 1447406699 - FRANCISCAN HEALTH SYSTEM, ST ANTHONY HOSPITAL | 383769889 | WA | General Acute Care Hospital (282N00000X) |
United | 90899 | $100.09 | 1225289895 - PROVIDENCE HEALTH & SERVICES, PROVIDENCE HOLY FAMILY HOSPITAL | 352345508 | WA | General Acute Care Hospital (282N00000X) |
United | 90899 | $49.77 | 1689653305 - WILLIAM BEAUMONT HOSPITAL, COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL | 381459362 - WILLIAM BEAUMONT HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 90899 | $83.86 | 1083644579 - BRONSON BATTLE CREEK HOSPITAL | 382776791 - (MI) BRONSON BATTLE CREEK HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 90899 | $79.66 | 1598971855 - OVERLAKE HOSPITAL MEDICAL CENTER LAB | 910652651 - (WA) OVERLAKE HOSPITAL MEDICAL CENTER | WA | General Acute Care Hospital (282N00000X) |
United | 90899 | $62.40 | 1871329110 - BMC COMMUNITY HOSPITAL CORPORATION | 994491180 | MA | General Acute Care Hospital (282N00000X) |
United | 90899 | $64.25 | 1376536573 - CARILION NEW RIVER VALLEY MEDICAL CENTER | 540553805 - (VA) CARILION NEW RIVER VALLEY MEDICAL CENTER | VA | General Acute Care Hospital (282N00000X) |
United | 90899 | $83.52 | 1902800352 - UNITED MEMORIAL MEDICAL CENTER | 160743029 - (NY) UNITED MEMORIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 90899 | $112.16 | 1689672693 - SAINT CLARE HOSPITAL, ST. CLARE HOSPITAL | 911487485 | WA | General Acute Care Hospital (282N00000X) |
United | 90899 | $126.29 | 1215913470 - PRESBYTERIAN HEALTHCARE SERVICES, PRESBYTERIAN HOSPITAL | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | NM | General Acute Care Hospital (282N00000X) |
United | 90899 | $78.84 | 1306825997 - WILLIAM BEAUMONT HOSPITAL, BEAUMONT HOSPITAL, TROY | 381459362 - WILLIAM BEAUMONT HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
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 90899 vs. Other Other Psychiatric Diagnostic Procedures Codes
The CPT 90899 code is part of the Other Psychiatric Services or Procedures services used for Other Psychiatric Diagnostic 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 90899 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 |
|---|---|---|
| 90887-CPT | Low | Interpj/Explnaj Rslt Psyc Xm, Interpretation Or Explanation Of Results Of Psychiatric Other Medical Examinations And Procedures Or Other Accumulated Data To Family Or Other Responsible Persons Or Advising Them How To Assist Patient |
| 90889-CPT | Low | Preparation Of Report Of Patie, Preparation Of Report Of Patients Psychiatric Status History Treatment Or Progress (Other Than For Legal Or Consultative Purposes) For Other Individuals Agencies Or Insurance Carriers |
| 90899-CPT | Moderate | Psychiatric Service, Office Visit With Psychiatrist Psychologist Or Other Mental Health Professional. May Include A Procedure. |
| 90901-CPT | Low | Biofeedback Training, Training In The Conscious Control Of Stress-Related Body Actions Such As Blood Flow Heart Rate And Muscle Tension. Electrical Impulses Display As Real-Time Biofeedback To Help A Person Practice. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90899. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90899 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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