CPT code 90832: Psychotherapy session, 30 minutes, without E/M2026 Medicare rate & RVUs in Marin County, CA

Report a 30-minute individual psychotherapy session with the patient when the same clinician does not also perform a separately reported E/M service.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1M Medicare services in 2024

In Marin County, CA, Medicare pays $100.31 for 90832 in the office and $77.23 when it’s performed in a hospital or facility.

$100.31Office (non-facility)
$77.23Hospital or facility
+16.9%vs the national office rate ($85.84)

Check a contract rate as a % of Medicare · 90832 nationwide

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

We’ll open 90832 for the payment locality that covers the ZIP.

On this page 12 sections
  1. Rate in Marin County, CA
  2. What 90832 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Rate history
  10. Where it applies
  11. Billing questions
  12. Sources

What 90832 covers

This service involves individual psychotherapy for a mental health condition, using approaches such as cognitive behavioral, supportive, or insight-oriented therapy. The patient participates, and a family member or caregiver may join part of the session when the treatment remains focused on the patient. Psychologists, clinical social workers, mental health counselors, marriage and family therapists, psychiatric nurse practitioners, and psychiatrists provide this care in offices, outpatient clinics, inpatient settings, and through appropriate telehealth encounters.

Select 90832 based on 16 through 37 minutes of psychotherapy with the patient. At 38 minutes, consider 90834; at 53 minutes, consider 90837. Document psychotherapy time separately from any other service, along with the therapeutic approach, clinical focus, patient response, and progress toward treatment goals. If the same clinician also performs a separately identifiable E/M service during the encounter, report the appropriate E/M code with psychotherapy add-on 90833 instead of 90832. Interactive complexity add-on 90785 may accompany 90832 when its specific communication criteria are met and documented.

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.

Billing guides for 90832: 90832 vs 90834 · Psychotherapy CPT codes · Mental health billing

How Marin County, CA compares for 90832

Across 109 of 109 payment localities, the office rate for 90832 runs from $82.76 in Arkansas to $119.44 in Alaska. Marin County, CA pays $100.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

90832 in Marin County, CA vs other payment areas
  1. Marin County, CA · this page$100.31
  2. Bakersfield, CA · California$88.93−$11.38
  3. Chico, CA · California$88.77−$11.54
  4. El Centro, CA · California$88.78−$11.53
  5. Fresno, CA · California$88.77−$11.54
  6. Hanford, CA · California$88.77−$11.54
  7. Los Angeles, CA · California$92.17−$8.14

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

90832 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$88.77$70.84
Merced, CACalifornia$88.77$70.84
Modesto, CACalifornia$88.77$70.84
Napa, CACalifornia$96.34$74.77
Oxnard, CACalifornia$91.30$71.95
Redding, CACalifornia$88.77$70.84
Rest of CaliforniaCalifornia$88.77$70.84
Riverside, CACalifornia$88.95$71.01

90832 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$82.76

$119.44

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
90832 office rate range by state
State / territoryOffice rate rangeLocalities
AK$119.441
AL$83.111
AR$82.761
AZ$85.151
CA$88.77–$101.9729
CO$87.871
CT$88.801
DC$93.061
DE$85.881
FL$85.10–$87.203
GA$83.67–$86.432
GU$88.541
HI$88.541
IA$83.881
ID$84.011
IL$84.23–$87.114
IN$84.161
KS$83.691
KY$83.511
LA$83.44–$84.662
MA$87.91–$92.482
MD$86.71–$93.063
ME$84.06–$85.532
MI$84.08–$85.342
MN$86.211
MO$82.97–$84.853
MS$82.871
MT$85.841
NC$84.331
ND$85.641
NE$84.041
NH$86.651
NJ$90.37–$93.262
NM$84.191
NV$85.811
NY$84.71–$94.195
OH$84.041
OK$83.551
OR$85.66–$89.092
PA$84.12–$87.922
PR$86.061
RI$87.721
SC$84.221
SD$85.621
TN$83.801
TX$83.95–$87.138
UT$84.561
VA$85.39–$93.062
VI$86.061
VT$85.471
WA$87.70–$93.722
WI$84.741
WV$83.271
WY$85.751

See 90832 in every payment locality

How the 90832 rate is calculated

Each of 90832’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 · 90832

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.94

1.94 RVUs× 1.000 GPCI

Practice expense0.62

0.62 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

2.5700

Conversion factor

$33.4009

Medicare rate

$85.84

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Marin County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,529

Code
90832
Physician work
1.94
Practice expense
0.62
Malpractice
0.01

GPCI2026.csv

25

Locality
Marin County, CA
Physician work
1.095
Practice expense
1.410
Malpractice
0.459
Office calculation for 90832 in Marin County, CA
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0952.1243
Practice expense0.62× 1.4100.8742
Malpractice0.01× 0.4590.0046
Total RVUs3.0031
Conversion factor× 33.4009

Office rate, Marin County, CA$100.31

Office: (1.94 × 1.095 + 0.62 × 1.41 + 0.01 × 0.459) × $33.4009 = $100.31

Facility: (1.94 × 1.095 + 0.13 × 1.41 + 0.01 × 0.459) × $33.4009 = $77.23

Open 90832 in the RVU calculator

Payment rules and modifiers for 90832

90832 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 90832

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$85.84

Non-facility (office)
$85.84
Facility
$69.47

Higher because the practice carries its own overhead.

90832 compared with similar codes

Compare codes · National

90832 vs 90834 vs 90837: Medicare rates

Office or facility?

  • 90832

    Psychotherapy session, 30 minutes, without E/M1.94 wRVU

    $85.84

  • 90834

    Psychotherapy session, 45 minutes, without E/M2.56 wRVU

    $113.90+$28.06

  • 90837

    Psychotherapy, 60 minutes, no E/M3.78 wRVU

    $167.00+$81.16

Same family in Marin County, CA

Related code rates in Marin County, CA
CodeOfficeFacility
90834Psychotherapy session45 minutes, without E/M$133.03$101.94
90837Psychotherapy60 minutes, no E/M$195.07$150.33

How to choose

90834Psychotherapy session45 minutes, without E/M
Both are standalone individual psychotherapy. Use 90832 for 16 through 37 minutes and 90834 for 38 through 52 minutes.
90833Psychotherapy with E/MAdd-on, 30 minutes
90833 is a psychotherapy add-on reported with a separately performed E/M service by the same clinician. Use 90832 for the psychotherapy encounter without that E/M service.
90839Crisis psychotherapyInitial 60 minutes
90839 requires urgent crisis assessment and intervention and sufficient crisis psychotherapy time. Use 90832 for a 16- through 37-minute individual psychotherapy encounter that does not meet those crisis criteria.
90847Family therapyPatient present, 50 minutes
90847 is family psychotherapy with the patient present. Use 90832 when treatment focuses on the individual patient, even if a family member participates.

How 90832 has changed in Marin County, CA

90832 · Office / nonfacility

$100.31

Effective 2026-10-01

The base rate is $9.46 higher than on 2025-10-01, moving from $90.85 to $100.31 (10.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $90.85changed to$100.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.86 changed to 1.94
    • Practice expense RVU 0.54 changed to 0.62
    • Malpractice RVU 0.04 changed to 0.01
    • Work GPCI 1.088 changed to 1.095
    • Practice expense GPCI 1.419 changed to 1.410
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $89.81changed to$90.85

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 1.78 changed to 1.86
    • Practice expense RVU 0.52 changed to 0.54
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $88.34changed to$89.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $85.81changed to$88.34

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 1.70 changed to 1.78
    • Practice expense RVU 0.49 changed to 0.52
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.082 changed to 1.088
    • Practice expense GPCI 1.374 changed to 1.419
    • Malpractice GPCI 0.487 changed to 0.470
  5. January 1, 2023

    RVU23A

    $86.66changed to$85.81

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.48 changed to 0.49
    • Malpractice RVU 0.07 changed to 0.04
    • Work GPCI 1.077 changed to 1.082
    • Practice expense GPCI 1.329 changed to 1.374
    • Malpractice GPCI 0.504 changed to 0.487

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $86.37changed to$86.66

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.05 changed to 0.07
    • Work GPCI 1.071 changed to 1.077
    • Practice expense GPCI 1.311 changed to 1.329

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $78.08changed to$86.37

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 1.50 changed to 1.70
    • Practice expense RVU 0.41 changed to 0.48
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.068 changed to 1.071
    • Practice expense GPCI 1.299 changed to 1.311
    • Malpractice GPCI 0.481 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $74.68changed to$78.08

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.35 changed to 0.41
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.065 changed to 1.068
    • Practice expense GPCI 1.291 changed to 1.299
    • Malpractice GPCI 0.458 changed to 0.481

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $71.52changed to$74.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.29 changed to 0.35
    • Work GPCI 1.062 changed to 1.065
    • Practice expense GPCI 1.279 changed to 1.291

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $68.76changed to$71.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.24 changed to 0.29
    • Work GPCI 1.058 changed to 1.062
    • Practice expense GPCI 1.271 changed to 1.279
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$68.76

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$100.31$77.23RVU26D
2026-07-01$100.31$77.23RVU26C
2026-04-01$100.31$77.23RVU26B
2026-01-01$100.31$77.23RVU26A
2025-10-01$90.85$76.62RVU25D
2025-07-01$90.85$76.62RVU25C
2025-04-01$90.85$76.62RVU25B
2025-01-01$90.85$76.62RVU25A
2024-10-01$89.81$75.64RVU24D
2024-07-01$89.81$75.64RVU24C
2024-04-01$89.81$75.64RVU24B
2024-03-09$89.81$75.64RVU24AR
2024-01-01$88.34$74.41RVU24A
2023-10-01$85.81$73.24RVU23D
2023-07-01$85.81$73.24RVU23C
2023-04-01$85.81$73.24RVU23B
2023-01-01$85.81$73.24RVU23A
2022-10-01$86.66$74.70RVU22D
2022-07-01$86.66$74.70RVU22C
2022-04-01$86.66$74.70RVU22B
2022-01-01$86.66$74.70RVU22A
2021-10-01$86.37$74.47RVU21D
2021-07-01$86.37$74.47RVU21C
2021-04-01$86.37$74.47RVU21B
2021-01-01$86.37$74.47RVU21A
2020-10-01$78.08$68.70RVU20D
2020-07-01$78.08$68.70RVU20C
2020-04-01$78.08$68.70RVU20B
2020-01-01$78.08$68.70RVU20A
2019-10-01$74.68$68.17RVU19D
2019-07-01$74.68$68.17RVU19C
2019-04-01$74.68$68.17RVU19B
2019-01-01$74.68$68.17RVU19A
2018-10-01$71.52$68.30RVU18D
2018-07-01$71.52$68.30RVU18C
2018-04-01$71.52$68.30RVU18B
2018-01-01$71.52$68.30RVU18AR1
2017-10-01$68.76$67.85RVU17D
2017-07-01$68.76$67.85RVU17C
2017-04-01$68.76$67.85RVU17B
2017-01-01$68.76$67.85RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 90832 for an earlier date of service

Where the Marin County, CA rate applies

Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Alto
  • Belvedere
  • Black Point-Green Point
  • Bolinas
  • Corte Madera
  • Dillon Beach
  • Fairfax
  • Inverness

Browse all communities in California

90832 billing questions

How many minutes are required to report this code instead of 90834?

Use 90832 for 16 through 37 minutes of psychotherapy. At 38 minutes, use 90834; at 53 minutes, use 90837.

Can a psychiatrist report this code with an office E/M visit?

When the same clinician performs a separately identifiable E/M service and psychotherapy during the encounter, report the E/M code with add-on 90833 instead of 90832. Count psychotherapy time separately from E/M time.

Can 90785 be added to this code?

Yes, when documented communication factors meet the interactive complexity criteria. Examples include caregiver behavior that interferes with treatment or using play equipment to communicate with a patient who has not developed expressive language.

How does this code differ from crisis psychotherapy?

Use 90839 instead when the encounter meets the requirements for urgent crisis assessment and intervention and the required crisis psychotherapy time is met. Add 90840 only when additional crisis psychotherapy time supports it.

Does a family member being in the room change the code?

No, if the patient participates and the psychotherapy remains focused on the patient's individual treatment. Consider 90846 or 90847 when the service is family psychotherapy, selecting between them based on the patient's participation.

What documentation supports this code?

Record the 16 through 37 minutes of psychotherapy, the therapeutic approach, clinical focus, patient response, and relationship to treatment goals. Keep any E/M time separate.

90832 is in these specialty bundles: Behavioral health

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
RVUs for 90832PPRRVU2026_Oct_nonQPP.csv, line 11,529 (RVU26D)
Geographic factors for Marin County, CAGPCI2026.csv, line 25 (RVU26D)

Open CMS sourceHow we calculate rates

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