CPT code 90785: Interactive complexity, communication factors2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $14.71 for 90785 in the office and $11.74 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 90785 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 90785 covers

Code 90785 captures added communication work during a psychiatric service, not a separate evaluation or a longer psychotherapy session. Examples include using play equipment to communicate with a young child, working through an interpreter, coordinating with a third party whose involvement complicates the exchange, or addressing a disclosure that requires mandated reporting. Psychiatrists, psychologists, clinical social workers, and other qualified mental health clinicians may encounter these circumstances in office or facility settings.

Report 90785 only with an eligible primary psychiatric service, such as a psychiatric diagnostic evaluation or psychotherapy; it is not billed by itself. The record should identify the communication factor and explain how it affected delivery of the primary service. CMS classifies it as an add-on paid within the primary procedure’s global period, so submit it with that procedure rather than as a standalone service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 90785

Across 109 of 109 payment localities, the office rate for 90785 runs from $14.18 in Arkansas to $20.45 in Alaska. Delaware pays $14.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90785 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 90785 in every payment locality

How the 90785 rate is calculated

Each of 90785’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 90785

The CMS indicators that decide how 90785 is paid alongside other services.

Codes related to 90785

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 90785 has changed in Delaware

Price 90785 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates