CPT code 90837: Psychotherapy, 60 minutes, no E/M2026 Medicare rate & RVUs in Minnesota

Individual psychotherapy lasting at least 53 minutes is reported with 90837 when the clinician provides the patient's therapy without reporting an E/M service.

CMS RVU26DEffective Oct 1, 2026One payment locality6.9M Medicare services in 2024

In Minnesota, Medicare pays $167.70 for 90837 in the office and $135.05 when it’s performed in a hospital or facility.

$167.70Office (non-facility)
$135.05Hospital or facility
+0.4%vs the national office rate ($167.00)

Check a contract rate as a % of Medicare · 90837 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 90837 for the payment locality that covers the ZIP.

On this page 12 sections
  1. Rate in Minnesota
  2. What 90837 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 90837 covers

This extended individual psychotherapy session uses therapeutic techniques such as cognitive behavioral therapy, supportive therapy, or trauma-focused work to treat a mental health or substance use condition. The clinician works with the patient; a family member or caregiver may participate when the focus remains the patient's individual treatment. Psychologists, clinical social workers, psychiatrists, psychiatric nurse practitioners, marriage and family therapists, and mental health counselors may furnish the service in offices, outpatient settings, or eligible telehealth encounters.

Select 90837 when documented psychotherapy time reaches at least 53 minutes; shorter individual sessions may qualify for 90834 or 90832. Record the psychotherapy time, therapeutic approach, patient's response, and progress toward treatment goals. Do not count scheduling, documentation, or separately reported E/M work as psychotherapy time. If the same clinician also reports an E/M service, report the psychotherapy portion with add-on 90838 rather than 90837. CMS assigns 3.78 work RVUs; its office practice expense RVU is higher than its facility practice expense RVU, so place of service affects payment.

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 90837: 90834 vs 90837 · Psychotherapy CPT codes · Mental health billing

How Minnesota compares for 90837

Across 109 of 109 payment localities, the office rate for 90837 runs from $161.03 in Arkansas to $232.44 in Alaska. Minnesota pays $167.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

90837 in Minnesota vs other payment areas
  1. Minnesota · this page$167.70
  2. Los Angeles, CA · California$179.29+$11.59
  3. Washington, DC area · District of Columbia$181.03+$13.33
  4. Miami, FL · Florida$169.67+$1.97
  5. Chicago, IL · Illinois$168.95+$1.25
  6. Manhattan, NY · New York$181.97+$14.27
  7. Alaska · Alaska$232.44+$64.74

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

Every other payment area

90837 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$161.70$133.94
ArkansasArkansas$161.03$133.77
ArizonaArizona$165.67$134.92
Bakersfield, CACalifornia$172.99$138.21
Chico, CACalifornia$172.69$137.91
El Centro, CACalifornia$172.69$137.91
Fresno, CACalifornia$172.69$137.91
Hanford, CACalifornia$172.69$137.91

90837 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.

$161.03

$232.44

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

View every state and territory as a table
90837 office rate range by state
State / territoryOffice rate rangeLocalities
AK$232.441
AL$161.701
AR$161.031
AZ$165.671
CA$172.69–$198.3029
CO$170.941
CT$172.761
DC$181.031
DE$167.091
FL$165.58–$169.673
GA$162.80–$168.162
GU$172.211
HI$172.211
IA$163.191
ID$163.451
IL$163.89–$169.494
IN$163.741
KS$162.831
KY$162.501
LA$162.37–$164.732
MA$171.01–$179.882
MD$168.69–$181.033
ME$163.55–$166.402
MI$163.60–$166.062
MN$167.701
MO$161.46–$165.083
MS$161.261
MT$167.001
NC$164.081
ND$166.611
NE$163.501
NH$168.561
NJ$175.81–$181.422
NM$163.811
NV$166.931
NY$164.80–$183.235
OH$163.521
OK$162.571
OR$166.65–$173.302
PA$163.68–$171.052
PR$167.441
RI$170.651
SC$163.861
SD$166.561
TN$163.051
TX$163.35–$169.518
UT$164.531
VA$166.13–$181.032
VI$167.441
VT$166.271
WA$170.61–$182.292
WI$164.861
WV$162.041
WY$166.831

See 90837 in every payment locality

How the 90837 rate is calculated

Each of 90837’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 · 90837

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.78

3.78 RVUs× 1.000 GPCI

Practice expense1.20

1.20 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

5.0000

Conversion factor

$33.4009

Medicare rate

$167.00

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,533

Code
90837
Physician work
3.78
Practice expense
1.20
Malpractice
0.02

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 90837 in Minnesota
ComponentRVULocality factorAdjusted
Physician work3.78× 1.0003.7800
Practice expense1.20× 1.0291.2348
Malpractice0.02× 0.2960.0059
Total RVUs5.0207
Conversion factor× 33.4009

Office rate, Minnesota$167.70

Office: (3.78 × 1 + 1.2 × 1.029 + 0.02 × 0.296) × $33.4009 = $167.70

Facility: (3.78 × 1 + 0.25 × 1.029 + 0.02 × 0.296) × $33.4009 = $135.05

Open 90837 in the RVU calculator

Payment rules and modifiers for 90837

90837 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 · 90837

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$167.00

Non-facility (office)
$167.00
Facility
$135.27

Higher because the practice carries its own overhead.

90837 compared with similar codes

Compare codes · National

90837 vs 90832 vs 90834: Medicare rates

Office or facility?

  • 90837

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

    $167.00

  • 90832

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

    $85.84−$81.16

  • 90834

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

    $113.90−$53.10

Same family in Minnesota

Related code rates in Minnesota
CodeOfficeFacility
90832Psychotherapy session30 minutes, without E/M$86.21$69.36
90834Psychotherapy session45 minutes, without E/M$114.23$91.55

How to choose

90834Psychotherapy session45 minutes, without E/M
Choose by documented psychotherapy time: at least 53 minutes supports 90837, while 38 to 52 minutes supports 90834. A 50-minute session does not meet the threshold for 90837.
90838PsychotherapyWith E/M, 60 minutes
90838 is the psychotherapy add-on paired with an E/M code when the same clinician provides at least 53 minutes of psychotherapy and reports E/M. Report 90837 for the psychotherapy session without that clinician's E/M service.
90839Crisis psychotherapyInitial 60 minutes
90839 describes urgent crisis assessment and intervention. Select 90837 for individual psychotherapy that meets its time threshold when the encounter is not crisis psychotherapy.
90847Family therapyPatient present, 50 minutes
90847 is family psychotherapy with the patient present and family interactions as the treatment focus. Report 90837 when treatment focuses on the individual patient, even if a family member participates.

How 90837 has changed in Minnesota

90837 · Office / nonfacility

$167.70

Effective 2026-10-01

The base rate is $14.36 higher than on 2025-10-01, moving from $153.34 to $167.70 (9.4%).

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

    $153.34changed to$167.70

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.63 changed to 3.78
    • Practice expense RVU 1.06 changed to 1.20
    • Malpractice RVU 0.08 changed to 0.02
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $150.87changed to$153.34

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 3.47 changed to 3.63
    • Practice expense RVU 1.01 changed to 1.06
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $148.40changed to$150.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $145.85changed to$148.40

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 3.31 changed to 3.47
    • Practice expense RVU 0.95 changed to 1.01
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $148.84changed to$145.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.94 changed to 0.95
    • Malpractice RVU 0.11 changed to 0.08
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $149.97changed to$148.84

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.93 changed to 0.94
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $139.27changed to$149.97

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 3.00 changed to 3.31
    • Practice expense RVU 0.81 changed to 0.93
    • Malpractice RVU 0.11 changed to 0.13
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $134.69changed to$139.27

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.69 changed to 0.81
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $130.54changed to$134.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.58 changed to 0.69

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $125.79changed to$130.54

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.46 changed to 0.58
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $125.83changed to$125.79

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.47 changed to 0.46
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $125.81changed to$125.83

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.46 changed to 0.47
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $125.18changed to$125.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $126.12changed to$125.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.48 changed to 0.46
    • Malpractice RVU 0.11 changed to 0.10
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $115.59changed to$126.12

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 2.83 changed to 3.00
    • Practice expense RVU 0.53 changed to 0.48
    • Practice expense GPCI 1.012 changed to 1.016
    • Malpractice GPCI 0.282 changed to 0.301

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$115.59

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$167.70$135.05RVU26D
2026-07-01$167.70$135.05RVU26C
2026-04-01$167.70$135.05RVU26B
2026-01-01$167.70$135.05RVU26A
2025-10-01$153.34$133.11RVU25D
2025-07-01$153.34$133.11RVU25C
2025-04-01$153.34$133.11RVU25B
2025-01-01$153.34$133.11RVU25A
2024-10-01$150.87$131.42RVU24D
2024-07-01$150.87$131.42RVU24C
2024-04-01$150.87$131.42RVU24B
2024-03-09$150.87$131.42RVU24AR
2024-01-01$148.40$129.27RVU24A
2023-10-01$145.85$127.90RVU23D
2023-07-01$145.85$127.90RVU23C
2023-04-01$145.85$127.90RVU23B
2023-01-01$145.85$127.90RVU23A
2022-10-01$148.84$130.61RVU22D
2022-07-01$148.84$130.61RVU22C
2022-04-01$148.84$130.61RVU22B
2022-01-01$148.84$130.61RVU22A
2021-10-01$149.97$131.94RVU21D
2021-07-01$149.97$131.94RVU21C
2021-04-01$149.97$131.94RVU21B
2021-01-01$149.97$131.94RVU21A
2020-10-01$139.27$125.03RVU20D
2020-07-01$139.27$125.03RVU20C
2020-04-01$139.27$125.03RVU20B
2020-01-01$139.27$125.03RVU20A
2019-10-01$134.69$124.86RVU19D
2019-07-01$134.69$124.86RVU19C
2019-04-01$134.69$124.86RVU19B
2019-01-01$134.69$124.86RVU19A
2018-10-01$130.54$125.45RVU18D
2018-07-01$130.54$125.45RVU18C
2018-04-01$130.54$125.45RVU18B
2018-01-01$130.54$125.45RVU18AR1
2017-10-01$125.79$125.06RVU17D
2017-07-01$125.79$125.06RVU17C
2017-04-01$125.79$125.06RVU17B
2017-01-01$125.79$125.06RVU17A
2016-10-01$125.83$124.74RVU16D
2016-07-01$125.83$124.74RVU16C
2016-04-01$125.83$124.74RVU16B
2016-01-01$125.83$124.74RVU16A
2015-10-01$125.81$125.07RVU15D
2015-07-01$125.81$125.07RVU15C
2015-04-01$125.18$124.45RVU15B
2015-01-01$125.18$124.45RVU15A
2014-10-01$126.12$125.40RVU14D
2014-07-01$126.12$125.40RVU14C
2014-04-01$126.12$125.40RVU14B
2014-01-01$126.12$125.40RVU14A
2013-10-01$115.59$108.36RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 90837 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

90837 billing questions

What is the minimum time needed to report 90837?

Document at least 53 minutes of psychotherapy. Sessions of 38 to 52 minutes are reported with 90834, and sessions of 16 to 37 minutes with 90832.

Can a psychiatrist report 90837 with an office E/M visit?

When the same clinician reports a separate E/M service and provides at least 53 minutes of psychotherapy, report add-on 90838 with the E/M code instead of 90837. Keep E/M time separate from psychotherapy time.

Can interactive complexity be added?

Yes. Add-on 90785 may be reported when its communication requirements are met and documented, such as using play equipment to overcome a child's inability to communicate through typical language. Routine use of toys alone does not qualify.

Does a family member's participation change the code?

Not when the patient is present and the focus remains the patient's individual treatment. For family psychotherapy focused on family interactions, use 90847 when the patient is present or 90846 when the patient is absent.

When is crisis psychotherapy reported instead of 90837?

Use 90839 for an encounter requiring urgent crisis assessment and intervention, rather than selecting 90837 solely because the session lasts at least 53 minutes. Select by the service furnished and its documented time.

Does a 60-minute appointment automatically qualify for 90837?

No. At least 53 minutes must be spent providing psychotherapy; exclude scheduling, documentation, and time spent on a separately reported E/M service.

90837 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 90837PPRRVU2026_Oct_nonQPP.csv, line 11,533 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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