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

In Fort Worth, TX, Medicare pays $167.49 for 90837 in the office and $136.21 when it’s performed in a hospital or facility.

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.

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.

How Fort Worth, TX 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. Fort Worth, TX pays $167.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90837 rates by state

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

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.

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.

90837 compared with similar codes

Same family in Fort Worth, TX

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.

Codes related to 90837

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

How 90837 has changed in Fort Worth, TX

Price 90837 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 90837 in Fort Worth · multiple payment areas
• Arlington
• 90837 in Azle · multiple payment areas
• Bedford
• Benbrook
• Blue Mound
• 90837 in Briar · multiple payment areas
• 90837 in Burleson · multiple payment areas

Browse all communities in Texas

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

Open CMS sourceHow we calculate rates