CPT code 90832: Psychotherapy session, 30 minutes, without E/M2026 Medicare rate & RVUs in South Dakota

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 South Dakota, Medicare pays $85.62 for 90832 in the office and $69.25 when it’s performed in a hospital or facility.

$85.62Office (non-facility)
$69.25Hospital or facility
−0.3%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 South Dakota
  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 South Dakota 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. South Dakota pays $85.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

90832 in South Dakota vs other payment areas
  1. South Dakota · this page$85.62
  2. Los Angeles, CA · California$92.17+$6.55
  3. Washington, DC area · District of Columbia$93.06+$7.44
  4. Miami, FL · Florida$87.20+$1.58
  5. Chicago, IL · Illinois$86.83+$1.21
  6. Manhattan, NY · New York$93.54+$7.92
  7. Alaska · Alaska$119.44+$33.82

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

Every other payment area

90832 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$83.11$68.79
ArkansasArkansas$82.76$68.70
ArizonaArizona$85.15$69.29
Bakersfield, CACalifornia$88.93$70.99
Chico, CACalifornia$88.77$70.84
El Centro, CACalifornia$88.78$70.84
Fresno, CACalifornia$88.77$70.84
Hanford, CACalifornia$88.77$70.84

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 90832 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0001.9400
Practice expense0.62× 1.0000.6200
Malpractice0.01× 0.3360.0034
Total RVUs2.5634
Conversion factor× 33.4009

Office rate, South Dakota$85.62

Office: (1.94 × 1 + 0.62 × 1 + 0.01 × 0.336) × $33.4009 = $85.62

Facility: (1.94 × 1 + 0.13 × 1 + 0.01 × 0.336) × $33.4009 = $69.25

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 South Dakota

Related code rates in South Dakota
CodeOfficeFacility
90834Psychotherapy session45 minutes, without E/M$113.45$91.41
90837Psychotherapy60 minutes, no E/M$166.56$134.83

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 South Dakota

90832 · Office / nonfacility

$85.62

Effective 2026-10-01

The base rate is $7.49 higher than on 2025-10-01, moving from $78.13 to $85.62 (9.6%).

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

    $78.13changed to$85.62

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $77.20changed to$78.13

    • 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

    $75.94changed to$77.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $74.71changed to$75.94

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $76.28changed to$74.71

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $76.67changed to$76.28

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $69.73changed to$76.67

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $67.37changed to$69.73

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $65.14changed to$67.37

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.29 changed to 0.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $63.16changed to$65.14

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.24 changed to 0.29
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $63.02changed to$63.16

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $63.24changed to$63.02

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $62.93changed to$63.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $63.58changed to$62.93

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.25 changed to 0.24
    • Malpractice RVU 0.06 changed to 0.05
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $61.64changed to$63.58

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 1.25 changed to 1.50
    • Practice expense RVU 0.54 changed to 0.25
    • Malpractice RVU 0.05 changed to 0.06
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $61.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$85.62$69.25RVU26D
2026-07-01$85.62$69.25RVU26C
2026-04-01$85.62$69.25RVU26B
2026-01-01$85.62$69.25RVU26A
2025-10-01$78.13$68.10RVU25D
2025-07-01$78.13$68.10RVU25C
2025-04-01$78.13$68.10RVU25B
2025-01-01$78.13$68.10RVU25A
2024-10-01$77.20$67.21RVU24D
2024-07-01$77.20$67.21RVU24C
2024-04-01$77.20$67.21RVU24B
2024-03-09$77.20$67.21RVU24AR
2024-01-01$75.94$66.11RVU24A
2023-10-01$74.71$65.56RVU23D
2023-07-01$74.71$65.56RVU23C
2023-04-01$74.71$65.56RVU23B
2023-01-01$74.71$65.56RVU23A
2022-10-01$76.28$67.28RVU22D
2022-07-01$76.28$67.28RVU22C
2022-04-01$76.28$67.28RVU22B
2022-01-01$76.28$67.28RVU22A
2021-10-01$76.67$67.60RVU21D
2021-07-01$76.67$67.60RVU21C
2021-04-01$76.67$67.60RVU21B
2021-01-01$76.67$67.60RVU21A
2020-10-01$69.73$62.51RVU20D
2020-07-01$69.73$62.51RVU20C
2020-04-01$69.73$62.51RVU20B
2020-01-01$69.73$62.51RVU20A
2019-10-01$67.37$62.33RVU19D
2019-07-01$67.37$62.33RVU19C
2019-04-01$67.37$62.33RVU19B
2019-01-01$67.37$62.33RVU19A
2018-10-01$65.14$62.62RVU18D
2018-07-01$65.14$62.62RVU18C
2018-04-01$65.14$62.62RVU18B
2018-01-01$65.14$62.62RVU18AR1
2017-10-01$63.16$62.44RVU17D
2017-07-01$63.16$62.44RVU17C
2017-04-01$63.16$62.44RVU17B
2017-01-01$63.16$62.44RVU17A
2016-10-01$63.02$62.66RVU16D
2016-07-01$63.02$62.66RVU16C
2016-04-01$63.02$62.66RVU16B
2016-01-01$63.02$62.66RVU16A
2015-10-01$63.24$62.52RVU15D
2015-07-01$63.24$62.52RVU15C
2015-04-01$62.93$62.21RVU15B
2015-01-01$62.93$62.21RVU15A
2014-10-01$63.58$62.87RVU14D
2014-07-01$63.58$62.87RVU14C
2014-04-01$63.58$62.87RVU14B
2014-01-01$63.58$62.87RVU14A
2013-10-01$61.64$48.03RVU13D
2013-07-01$61.64$48.03RVU13C
2013-04-01$61.64$48.03RVU13B
2013-01-01$61.64$48.03RVU13AR

Price 90832 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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