CPT code 90785: Interactive complexity, communication factors2026 Medicare rate & RVUs in Auburn, Washington
CPT 90785: $15.03–$16.08 office ($11.87–$12.39 facility) across 2 localities in Auburn, WA in 2026 Medicare. Compare each area.
Medicare pays $15.03–$16.08 for 90785 in the office in Auburn, Washington, from Rest of Washington to King County, WA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 6 sections
Where 90785 pays more and less in Auburn, Washington
Auburn, Washington maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| King County, WA | $16.08 | $12.39 |
| Rest of Washington | $15.03 | $11.87 |
How payment areas work in Auburn
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Seattle (King Cnty) · King County
- Rest Of State · Pierce County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
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.
How the rate is built · 90785
RVUs × geographic indexes × conversion factor
Work0.33
0.33 RVUs× 1.000 GPCI
Practice expense0.11
0.11 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.4400
Conversion factor
$33.4009
Medicare rate
$14.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 90785
The CMS indicators that decide how 90785 is paid alongside other services.
CMS payment indicators · 90785
Interactive complexity, communication factors
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
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
Show the CMS file lines behind this rate
Fee sheets · Coming soon
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Your codes at your locality, with payer contracts beside Medicare.
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