CPT code 90836: Psychotherapy, with E/M, 38–52 minutes2026 Medicare rate & RVUs in Los Angeles, CA

Report 90836 for 38–52 minutes of individual psychotherapy performed with a separately documented evaluation and management service during the same encounter.

CMS RVU26DEffective Oct 1, 2026One payment locality402.1K Medicare services in 2024

In Los Angeles, CA, Medicare pays $110.42 for 90836 in the office and $86.71 when it’s performed in a hospital or facility.

$110.42Office (non-facility)

$86.71Hospital or facility

+7.0%vs the national office rate ($103.21)

Check a contract rate as a % of Medicare · 90836 nationwide

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 11 sections

Rate in Los Angeles, CA
What 90836 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 90836 covers

Code 90836 describes individual psychotherapy provided to a patient during an encounter that also includes evaluation and management. It is commonly reported by psychiatrists and other qualified clinicians for sessions addressing concerns such as depression, anxiety, trauma, or coping with illness, when the clinician also evaluates or manages the patient’s medical or psychiatric condition. The psychotherapy portion must last 38–52 minutes; time spent on the E/M service is separate from psychotherapy time.

Report 90836 only with an appropriate primary E/M code for the same encounter; it is not a stand-alone psychotherapy code. The note should support the psychotherapy time, focus, interventions, and patient response, as well as the distinct assessment and management work supporting the E/M service. CMS classifies 90836 as an add-on code and pays it within the primary procedure’s global period. Select the psychotherapy level by documented psychotherapy time, not by the total appointment length.

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 90836: Psychotherapy add-on codes · Psychotherapy CPT codes · Mental health billing

How Los Angeles, CA compares for 90836

Across 109 of 109 payment localities, the office rate for 90836 runs from $97.96 in Arkansas to $140.07 in Alaska. Los Angeles, CA pays $110.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

90836 in Los Angeles, CA vs other payment areas

Los Angeles, CA · this page$110.42
Bakersfield, CA · California$106.23−$4.19
Chico, CA · California$105.89−$4.53
El Centro, CA · California$105.91−$4.51
Fresno, CA · California$105.89−$4.53
Hanford, CA · California$105.89−$4.53
Madera, CA · California$105.89−$4.53

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

Every other payment area

90836 in every other Medicare payment locality
Payment locality	Office	Facility
Merced, CACalifornia	$105.89	$83.93
Modesto, CACalifornia	$105.89	$83.93
Napa, CACalifornia	$115.38	$88.97
Oxnard, CACalifornia	$109.34	$85.65
Redding, CACalifornia	$105.89	$83.93
Rest of CaliforniaCalifornia	$105.89	$83.93
Riverside, CACalifornia	$106.81	$84.85
Sacramento, CACalifornia	$109.15	$85.84
Salinas, CACalifornia	$108.68	$85.45
San Diego, CACalifornia	$109.66	$85.69
Marin County, CACalifornia	$120.15	$91.89
San Francisco, CACalifornia	$120.06	$91.80
San Benito County, CACalifornia	$122.34	$93.44
Santa Clara County, CACalifornia	$121.97	$93.07
San Luis Obispo, CACalifornia	$107.10	$84.27
Santa Cruz, CACalifornia	$109.52	$85.17
Santa Maria, CACalifornia	$108.66	$85.29
Santa Rosa, CACalifornia	$110.54	$85.93
Stockton, CACalifornia	$105.89	$83.93
Vallejo, CACalifornia	$115.25	$88.84
Visalia, CACalifornia	$105.89	$83.93
Yuba City, CACalifornia	$105.89	$83.93
Washington, DC areaDistrict of Columbia	$112.42	$88.81
Miami, FLFlorida	$108.44	$87.58
Chicago, ILIllinois	$107.32	$87.18
Manhattan, NYNew York	$113.96	$90.67
AlaskaAlaska	$140.07	$118.73
AlabamaAlabama	$98.54	$81.01
ArkansasArkansas	$97.96	$80.74
ArizonaArizona	$101.95	$82.53
ColoradoColorado	$105.29	$83.97
ConnecticutConnecticut	$107.38	$85.80
DelawareDelaware	$102.96	$83.16
Fort Lauderdale, FLFlorida	$105.73	$85.43
Rest of FloridaFlorida	$103.32	$84.16
Atlanta, GAGeorgia	$104.41	$84.05
Rest of GeorgiaGeorgia	$100.69	$82.82
Hawaii, Guam, HIHawaii	$105.93	$83.14
IowaIowa	$99.21	$80.88
IdahoIdaho	$99.56	$81.12
East St. Louis, ILIllinois	$103.67	$85.24
Rest of IllinoisIllinois	$102.27	$83.98
Suburban Chicago, ILIllinois	$106.54	$85.95
IndianaIndiana	$99.79	$81.21
KansasKansas	$99.19	$81.07
KentuckyKentucky	$99.87	$82.05
New Orleans, LALouisiana	$101.92	$83.06
Rest of LouisianaLouisiana	$99.87	$82.13
Metropolitan Boston, MAMassachusetts	$111.33	$87.40
Rest of MassachusettsMassachusetts	$105.31	$84.21
Baltimore area, MDMaryland	$107.05	$85.55
Rest of MarylandMaryland	$104.05	$83.77
Rest of MaineMaine	$99.95	$81.52
Southern Maine, MEMaine	$101.97	$82.11
Detroit, MIMichigan	$104.06	$84.72
Rest of MichiganMichigan	$101.11	$82.82
MinnesotaMinnesota	$102.14	$81.52
Metropolitan Kansas City, MOMissouri	$101.44	$82.62
Metropolitan St. Louis, MOMissouri	$101.87	$82.79
Rest of MissouriMissouri	$99.27	$81.99
MississippiMississippi	$98.61	$81.36
MontanaMontana	$103.20	$83.16
North CarolinaNorth Carolina	$100.36	$81.67
North DakotaNorth Dakota	$101.62	$81.58
NebraskaNebraska	$99.39	$80.89
New HampshireNew Hampshire	$104.03	$83.16
Northern New JerseyNew Jersey	$112.45	$89.20
Rest of New JerseyNew Jersey	$108.95	$87.06
New MexicoNew Mexico	$101.42	$83.04
NevadaNevada	$102.79	$82.73
NYC suburbs and Long Island, NYNew York	$115.44	$91.61
Poughkeepsie and northern NYC suburbs, NYNew York	$109.70	$87.75
Queens, NYNew York	$114.13	$90.45
Rest of New YorkNew York	$101.01	$81.97
OhioOhio	$100.79	$82.49
OklahomaOklahoma	$99.61	$81.71
Portland, OROregon	$106.80	$84.53
Rest of OregonOregon	$102.30	$82.34
Metropolitan Philadelphia, PAPennsylvania	$106.18	$85.32
Rest of PennsylvaniaPennsylvania	$100.76	$82.36
Puerto RicoPuerto Rico	$103.48	$83.22
Rhode IslandRhode Island	$105.22	$84.52
South CarolinaSouth Carolina	$100.68	$82.16
South DakotaSouth Dakota	$101.43	$81.39
TennesseeTennessee	$99.42	$81.20
Austin, TXTexas	$104.68	$83.47
Beaumont, TXTexas	$100.49	$82.26
Brazoria, TXTexas	$102.95	$83.09
Dallas, TXTexas	$103.37	$83.41
Fort Worth, TXTexas	$103.12	$83.36
Galveston, TXTexas	$103.13	$83.23
Houston, TXTexas	$104.60	$84.70
Rest of TexasTexas	$101.52	$82.50
UtahUtah	$101.25	$82.41
VirginiaVirginia	$101.95	$82.25
Virgin Islands, VIUnited States Virgin Islands	$103.48	$83.22
VermontVermont	$101.61	$81.77
Rest of WashingtonWashington	$105.00	$83.90
King County, WAWashington	$112.71	$88.12
WisconsinWisconsin	$100.18	$80.98
West VirginiaWest Virginia	$100.69	$83.27
WyomingWyoming	$102.51	$82.47

90836 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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.

$97.96

$140.07

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

View every state and territory as a table

90836 office rate range by state
State / territory	Office rate range	Localities
AK	$140.07	1
AL	$98.54	1
AR	$97.96	1
AZ	$101.95	1
CA	$105.89–$122.34	29
CO	$105.29	1
CT	$107.38	1
DC	$112.42	1
DE	$102.96	1
FL	$103.32–$108.44	3
GA	$100.69–$104.41	2
GU	$105.93	1
HI	$105.93	1
IA	$99.21	1
ID	$99.56	1
IL	$102.27–$107.32	4
IN	$99.79	1
KS	$99.19	1
KY	$99.87	1
LA	$99.87–$101.92	2
MA	$105.31–$111.33	2
MD	$104.05–$112.42	3
ME	$99.95–$101.97	2
MI	$101.11–$104.06	2
MN	$102.14	1
MO	$99.27–$101.87	3
MS	$98.61	1
MT	$103.20	1
NC	$100.36	1
ND	$101.62	1
NE	$99.39	1
NH	$104.03	1
NJ	$108.95–$112.45	2
NM	$101.42	1
NV	$102.79	1
NY	$101.01–$115.44	5
OH	$100.79	1
OK	$99.61	1
OR	$102.30–$106.80	2
PA	$100.76–$106.18	2
PR	$103.48	1
RI	$105.22	1
SC	$100.68	1
SD	$101.43	1
TN	$99.42	1
TX	$100.49–$104.68	8
UT	$101.25	1
VA	$101.95–$112.42	2
VI	$103.48	1
VT	$101.61	1
WA	$105.00–$112.71	2
WI	$100.18	1
WV	$100.69	1
WY	$102.51	1

See 90836 in every payment locality

How the 90836 rate is calculated

Each of 90836’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 · 90836

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work2.17

2.17 RVUs× 1.000 GPCI

Practice expense0.84

0.84 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

3.0900

Conversion factor

$33.4009

Medicare rate

$103.21

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,532

Code: 90836
Physician work: 2.17
Practice expense: 0.84
Malpractice: 0.08

GPCI2026.csv

Locality: Los Angeles, CA
Physician work: 1.041
Practice expense: 1.183
Malpractice: 0.664

Office calculation for 90836 in Los Angeles, CA
Component	RVU	Locality factor	Adjusted
Physician work	2.17	× 1.041	2.2590
Practice expense	0.84	× 1.183	0.9937
Malpractice	0.08	× 0.664	0.0531
Total RVUs			3.3058
Conversion factor			× 33.4009

Office rate, Los Angeles, CA$110.42

Office: (2.17 × 1.041 + 0.84 × 1.183 + 0.08 × 0.664) × $33.4009 = $110.42

Facility: (2.17 × 1.041 + 0.24 × 1.183 + 0.08 × 0.664) × $33.4009 = $86.71

Open 90836 in the RVU calculator

Payment rules and modifiers for 90836

The CMS indicators that decide how 90836 is paid alongside other services.

CMS payment indicators · 90836

Psychotherapy, with E/M, 38–52 minutes

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.

Codes related to 90836

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

Codes related to 90836
Code	How it relates	Office range, Los Angeles, CA
Same family
90833	Psychotherapy with E/M, add-on, 30 minutesPsychotherapy with E/M for a shorter psychotherapy time.	$87.09
90838	Psychotherapy, with E/M, 60 minutesPsychotherapy with E/M for a longer psychotherapy time.	$145.96
Used instead
90834	Psychotherapy session, 45 minutes, without E/MPsychotherapy without an accompanying E/M service for the same 38–52-minute time range.	$122.25
Primary code
99213	Office visit, established patient, low complexityA qualifying office E/M code that may serve as the primary service.	$104.89
99214	Office visit, established patient, moderate complexityA qualifying office E/M code that may serve as the primary service.	$148.89

How 90836 has changed in Los Angeles, CA

90836 · Office / nonfacility

$110.42

Effective 2026-10-01

Compare with release effective

The base rate is $11.49 higher than on 2025-10-01, moving from $98.93 to $110.42 (11.6%).

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

January 1, 2026
RVU26A
$98.93changed to$110.42
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.08 changed to 2.17
- Practice expense RVU 0.70 changed to 0.84
- Work GPCI 1.042 changed to 1.041
- Practice expense GPCI 1.194 changed to 1.183
- Malpractice GPCI 0.690 changed to 0.664
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$97.09changed to$98.93
- Conversion factor 33.2875 changed to 32.3465
- Work RVU 1.99 changed to 2.08
- Practice expense RVU 0.66 changed to 0.70
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$95.51changed to$97.09
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$94.14changed to$95.51
- Conversion factor 33.8872 changed to 32.7442
- Work RVU 1.90 changed to 1.99
- Practice expense RVU 0.62 changed to 0.66
- Work GPCI 1.045 changed to 1.042
- Practice expense GPCI 1.185 changed to 1.194
- Malpractice GPCI 0.724 changed to 0.690
January 1, 2023
RVU23A
$96.21changed to$94.14
- Conversion factor 34.6062 changed to 33.8872
- Work GPCI 1.048 changed to 1.045
- Practice expense GPCI 1.175 changed to 1.185
- Malpractice GPCI 0.757 changed to 0.724
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$96.48changed to$96.21
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.06 changed to 0.08
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$98.50changed to$96.48
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.58 changed to 0.62
- Malpractice RVU 0.08 changed to 0.06
- Work GPCI 1.047 changed to 1.048
- Practice expense GPCI 1.176 changed to 1.175
- Malpractice GPCI 0.725 changed to 0.757
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$95.26changed to$98.50
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.51 changed to 0.58
- Work GPCI 1.046 changed to 1.047
- Practice expense GPCI 1.177 changed to 1.176
- Malpractice GPCI 0.694 changed to 0.725
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$92.19changed to$95.26
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.44 changed to 0.51
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$89.22changed to$92.19
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.37 changed to 0.44
- Work GPCI 1.047 changed to 1.046
- Practice expense GPCI 1.169 changed to 1.177
- Malpractice GPCI 0.801 changed to 0.694
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$89.21changed to$89.22
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 1.161 changed to 1.169
- Malpractice GPCI 0.908 changed to 0.801
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$88.79changed to$89.21
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.36 changed to 0.37
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$88.34changed to$88.79
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$88.21changed to$88.34
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.37 changed to 0.36
- Work GPCI 1.042 changed to 1.047
- Practice expense GPCI 1.158 changed to 1.161
- Malpractice GPCI 0.775 changed to 0.908
Held through RVU15B.
January 1, 2014
RVU14A
$70.27changed to$88.21
- Conversion factor 34.0230 changed to 35.8228
- Work RVU 1.60 changed to 1.90
- Practice expense RVU 0.32 changed to 0.37
- Malpractice RVU 0.06 changed to 0.07
- Work GPCI 1.036 changed to 1.042
- Practice expense GPCI 1.154 changed to 1.158
- Malpractice GPCI 0.642 changed to 0.775
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$70.27
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$110.42	$86.71	RVU26D
2026-07-01	$110.42	$86.71	RVU26C
2026-04-01	$110.42	$86.71	RVU26B
2026-01-01	$110.42	$86.71	RVU26A
2025-10-01	$98.93	$86.18	RVU25D
2025-07-01	$98.93	$86.18	RVU25C
2025-04-01	$98.93	$86.18	RVU25B
2025-01-01	$98.93	$86.18	RVU25A
2024-10-01	$97.09	$85.17	RVU24D
2024-07-01	$97.09	$85.17	RVU24C
2024-04-01	$97.09	$85.17	RVU24B
2024-03-09	$97.09	$85.17	RVU24AR
2024-01-01	$95.51	$83.78	RVU24A
2023-10-01	$94.14	$82.90	RVU23D
2023-07-01	$94.14	$82.90	RVU23C
2023-04-01	$94.14	$82.90	RVU23B
2023-01-01	$94.14	$82.90	RVU23A
2022-10-01	$96.21	$84.83	RVU22D
2022-07-01	$96.21	$84.83	RVU22C
2022-04-01	$96.21	$84.83	RVU22B
2022-01-01	$96.21	$84.83	RVU22A
2021-10-01	$96.48	$85.00	RVU21D
2021-07-01	$96.48	$85.00	RVU21C
2021-04-01	$96.48	$85.00	RVU21B
2021-01-01	$96.48	$85.00	RVU21A
2020-10-01	$98.50	$88.74	RVU20D
2020-07-01	$98.50	$88.74	RVU20C
2020-04-01	$98.50	$88.74	RVU20B
2020-01-01	$98.50	$88.74	RVU20A
2019-10-01	$95.26	$88.47	RVU19D
2019-07-01	$95.26	$88.47	RVU19C
2019-04-01	$95.26	$88.47	RVU19B
2019-01-01	$95.26	$88.47	RVU19A
2018-10-01	$92.19	$88.37	RVU18D
2018-07-01	$92.19	$88.37	RVU18C
2018-04-01	$92.19	$88.37	RVU18B
2018-01-01	$92.19	$88.37	RVU18AR1
2017-10-01	$89.22	$88.38	RVU17D
2017-07-01	$89.22	$88.38	RVU17C
2017-04-01	$89.22	$88.38	RVU17B
2017-01-01	$89.22	$88.38	RVU17A
2016-10-01	$89.21	$88.38	RVU16D
2016-07-01	$89.21	$88.38	RVU16C
2016-04-01	$89.21	$88.38	RVU16B
2016-01-01	$89.21	$88.38	RVU16A
2015-10-01	$88.79	$88.37	RVU15D
2015-07-01	$88.79	$88.37	RVU15C
2015-04-01	$88.34	$87.93	RVU15B
2015-01-01	$88.34	$87.93	RVU15A
2014-10-01	$88.21	$87.38	RVU14D
2014-07-01	$88.21	$87.38	RVU14C
2014-04-01	$88.21	$87.38	RVU14B
2014-01-01	$88.21	$87.38	RVU14A
2013-10-01	$70.27	$70.27	RVU13D
2013-07-01	Rate data unavailable	Rate data unavailable	RVU13C
2013-04-01	Rate data unavailable	Rate data unavailable	RVU13B
2013-01-01	Rate data unavailable	Rate data unavailable	RVU13AR

Price 90836 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Anaheim
Long Beach
Los Angeles
Orange
Acton
Agoura Hills
Agua Dulce
Alhambra

Browse all communities in California

90836 billing questions

When should I choose 90836 instead of 90834?

Use 90836 when 38–52 minutes of psychotherapy are performed with an E/M service in the same encounter. Use 90834 for that psychotherapy time when it is reported without an E/M service.

Which primary service must accompany 90836?

Report it with an appropriate E/M code for the same encounter, such as a qualifying office or outpatient E/M service. The E/M work must be supported separately from the psychotherapy.

Can 90836 be billed by itself?

No. CMS identifies 90836 as an add-on code that must be billed with a primary procedure.

How should time be documented?

Document 38–52 minutes of psychotherapy and distinguish that time from time spent on E/M work. The total appointment length alone does not establish the psychotherapy level.

Does the E/M service need separate documentation?

Yes. The record should support the assessment and management work as well as the psychotherapy interventions, focus, and patient response.

Should modifier 25 be added to 90836?

90836 is the psychotherapy add-on, not a replacement for the primary E/M code. Modifier 25 does not replace the requirement to report and document the appropriate E/M service.

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 90836PPRRVU2026_Oct_nonQPP.csv, line 11,532 (RVU26D)

11,52990832,,[CPT descriptor omitted],A,,1.94,0.62,,0.13,,0.01,2.57,2.08,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

11,53090833,,[CPT descriptor omitted],A,,1.71,0.66,,0.19,,0.07,2.44,1.97,0,ZZZ,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

11,53190834,,[CPT descriptor omitted],A,,2.56,0.83,,0.17,,0.02,3.41,2.75,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

11,53290836,,[CPT descriptor omitted],A,,2.17,0.84,,0.24,,0.08,3.09,2.49,0,ZZZ,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

11,53390837,,[CPT descriptor omitted],A,,3.78,1.20,,0.25,,0.02,5.00,4.05,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

11,53490838,,[CPT descriptor omitted],A,,2.86,1.11,,0.32,,0.12,4.09,3.30,0,ZZZ,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

11,53590839,,[CPT descriptor omitted],A,,3.58,1.19,,0.27,,0.03,4.80,3.88,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

1001182,CA,71,EL CENTRO,1.017,1.096,0.541

1101112,CA,56,FRESNO,1.017,1.096,0.536

1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536

1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664

1401112,CA,58,MADERA,1.017,1.096,0.536

1501112,CA,59,MERCED,1.017,1.096,0.536

1601112,CA,60,MODESTO,1.017,1.096,0.536

Open CMS source How we calculate rates

Fee sheets · Coming soon

Put 90836 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist

What 90836 covers

How Los Angeles, CA compares for 90836

Every other payment area

90836 rates by state

How the 90836 rate is calculated

Payment rules and modifiers for 90836

Codes related to 90836

How 90836 has changed in Los Angeles, CA

Where the Los Angeles, CA rate applies

90836 billing questions

When should I choose 90836 instead of 90834?

Which primary service must accompany 90836?

Can 90836 be billed by itself?

How should time be documented?

Does the E/M service need separate documentation?

Should modifier 25 be added to 90836?

Where these rates come from

Did this answer your question about what 90836 pays in Los Angeles, CA?

Put 90836 and the rest of your codes on one sheet