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See a sample rate comparisonCPT 90899 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 Service, Office Visit With Psychiatrist Psychologist Or Other Mental Health Professional. May Include A Procedure.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office 53 - Community Mental Health Center |
| Common Modifiers | 95 - Telemedicine - audio and video U8 |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 90899 |
| Medicaid Fee Schedule | $30.76 median of the 4 states in the free preview · View Medicaid rates for 90899 |
National average reimbursement for CPT 90899 by major payers:
$388.22
$84.15
$307.23
$336.72
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CPT 90899
5 of 25 sample ratesHigher to lower in this preview
Presbyterian Healthcare Services, Presbyterian Hospital
Presbyterian Healthcare Services
$126.29Published rateProvidence Health & Services, Providence Holy Family Hospital
$100.09Published rateOverlake Hospital Medical Center
$79.66Published rateSurgical Hospital Of Oklahoma LLC
$62.81Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$46.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90899 vs. Other Psychiatry Services and Procedures Codes
The CPT 90899 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 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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