CPT code 90840: Crisis psychotherapy, each additional 30 minutes2026 Medicare rate & RVUs in Minnesota

Report 90840 for each additional 30 minutes of crisis psychotherapy beyond the initial crisis service, when a patient needs urgent psychiatric intervention.

CMS RVU26DEffective Oct 1, 2026One payment locality5.9K Medicare services in 2024

In Minnesota, Medicare pays $77.25 for 90840 in the office and $62.13 when it’s performed in a hospital or facility.

$77.25Office (non-facility)
$62.13Hospital or facility
+0.1%vs the national office rate ($77.16)

Check a contract rate as a % of Medicare · 90840 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 90840 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 90840 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 90840 covers

90840 represents additional time spent providing psychotherapy during an acute psychiatric crisis, such as severe emotional distress or an urgent safety concern. A physician or other qualified health care professional may provide the service in an office, emergency department, or another setting where crisis care is delivered. The intervention addresses the immediate crisis through assessment, therapeutic support, and planning for stabilization or disposition; it is not a routine scheduled psychotherapy session.

Report 90840 only with 90839, which covers the initial crisis service. Use 90840 for each additional 30 minutes after that initial service, following applicable CPT time thresholds. Documentation should identify the crisis, describe the interventions and the patient’s response, and support the total time spent in crisis psychotherapy. CMS treats 90840 as an add-on code billed with its primary procedure and paid within that procedure’s global period.

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 90840: Psychotherapy CPT codes · Mental health billing

How Minnesota compares for 90840

Across 109 of 109 payment localities, the office rate for 90840 runs from $74.10 in Arkansas to $106.67 in Alaska. Minnesota pays $77.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

90840 in Minnesota vs other payment areas
  1. Minnesota · this page$77.25
  2. Los Angeles, CA · California$82.82+$5.57
  3. Washington, DC area · District of Columbia$83.76+$6.51
  4. Miami, FL · Florida$78.97+$1.72
  5. Chicago, IL · Illinois$78.52+$1.27
  6. Manhattan, NY · New York$84.34+$7.09
  7. Alaska · Alaska$106.67+$29.42

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

Every other payment area

90840 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$74.44$61.59
ArkansasArkansas$74.10$61.48
ArizonaArizona$76.46$62.22
Bakersfield, CACalifornia$79.84$63.73
Chico, CACalifornia$79.68$63.57
El Centro, CACalifornia$79.68$63.57
Fresno, CACalifornia$79.68$63.57
Hanford, CACalifornia$79.68$63.57

90840 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.

$74.10

$106.67

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

View every state and territory as a table
90840 office rate range by state
State / territoryOffice rate rangeLocalities
AK$106.671
AL$74.441
AR$74.101
AZ$76.461
CA$79.68–$91.6929
CO$78.941
CT$79.931
DC$83.761
DE$77.141
FL$76.64–$78.973
GA$75.19–$77.772
GU$79.531
HI$79.531
IA$75.111
ID$75.251
IL$75.85–$78.594
IN$75.401
KS$74.961
KY$74.951
LA$74.90–$76.102
MA$78.96–$83.182
MD$77.90–$83.763
ME$75.35–$76.742
MI$75.56–$76.942
MN$77.251
MO$74.47–$76.233
MS$74.291
MT$77.151
NC$75.621
ND$76.761
NE$75.251
NH$77.871
NJ$81.29–$83.902
NM$75.681
NV$77.061
NY$75.99–$85.055
OH$75.481
OK$74.931
OR$76.88–$80.052
PA$75.53–$79.112
PR$77.361
RI$78.811
SC$75.581
SD$76.711
TN$75.081
TX$75.37–$78.328
UT$75.931
VA$76.63–$83.762
VI$77.361
VT$76.631
WA$78.77–$84.292
WI$75.881
WV$74.911
WY$76.981

See 90840 in every payment locality

How the 90840 rate is calculated

Each of 90840’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 · 90840

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense0.58

0.58 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.3100

Conversion factor

$33.4009

Medicare rate

$77.16

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

11,536

Code
90840
Physician work
1.71
Practice expense
0.58
Malpractice
0.02

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 90840 in Minnesota
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0001.7100
Practice expense0.58× 1.0290.5968
Malpractice0.02× 0.2960.0059
Total RVUs2.3127
Conversion factor× 33.4009

Office rate, Minnesota$77.25

Office: (1.71 × 1 + 0.58 × 1.029 + 0.02 × 0.296) × $33.4009 = $77.25

Facility: (1.71 × 1 + 0.14 × 1.029 + 0.02 × 0.296) × $33.4009 = $62.13

Open 90840 in the RVU calculator

Payment rules and modifiers for 90840

The CMS indicators that decide how 90840 is paid alongside other services.

CMS payment indicators · 90840

Crisis psychotherapy, each additional 30 minutes

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 90840 has changed in Minnesota

90840 · Office / nonfacility

$77.25

Effective 2026-10-01

The base rate is $5.38 higher than on 2025-10-01, moving from $71.87 to $77.25 (7.5%).

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

    $71.87changed to$77.25

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.64 changed to 1.71
    • Practice expense RVU 0.55 changed to 0.58
    • Malpractice RVU 0.06 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

    $71.14changed to$71.87

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 1.57 changed to 1.64
    • Practice expense RVU 0.53 changed to 0.55
    • Malpractice RVU 0.08 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $69.98changed to$71.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $68.63changed to$69.98

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 1.50 changed to 1.57
    • Practice expense RVU 0.49 changed to 0.53
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    $69.73changed to$68.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.47 changed to 0.49
    • 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

    $67.80changed to$69.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.42 changed to 0.47
    • Malpractice RVU 0.05 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $69.52changed to$67.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.40 changed to 0.42
    • Malpractice RVU 0.06 changed to 0.05
    • 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

    $67.46changed to$69.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.35 changed to 0.40
    • Malpractice RVU 0.05 changed to 0.06
    • 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

    $65.21changed to$67.46

    • 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

    $62.83changed to$65.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.23 changed to 0.29
    • 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

    $62.68changed to$62.83

    • Conversion factor 35.8043 changed to 35.8887
    • 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

    $62.90changed to$62.68

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $62.59changed to$62.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $63.12changed to$62.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.24 changed to 0.23
    • Malpractice RVU 0.06 changed to 0.05
    • 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

    No ratechanged to$63.12

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$77.25$62.13RVU26D
2026-07-01$77.25$62.13RVU26C
2026-04-01$77.25$62.13RVU26B
2026-01-01$77.25$62.13RVU26A
2025-10-01$71.87$63.58RVU25D
2025-07-01$71.87$63.58RVU25C
2025-04-01$71.87$63.58RVU25B
2025-01-01$71.87$63.58RVU25A
2024-10-01$71.14$62.95RVU24D
2024-07-01$71.14$62.95RVU24C
2024-04-01$71.14$62.95RVU24B
2024-03-09$71.14$62.95RVU24AR
2024-01-01$69.98$61.93RVU24A
2023-10-01$68.63$61.04RVU23D
2023-07-01$68.63$61.04RVU23C
2023-04-01$68.63$61.04RVU23B
2023-01-01$68.63$61.04RVU23A
2022-10-01$69.73$62.02RVU22D
2022-07-01$69.73$62.02RVU22C
2022-04-01$69.73$62.02RVU22B
2022-01-01$69.73$62.02RVU22A
2021-10-01$67.80$59.67RVU21D
2021-07-01$67.80$59.67RVU21C
2021-04-01$67.80$59.67RVU21B
2021-01-01$67.80$59.67RVU21A
2020-10-01$69.52$62.58RVU20D
2020-07-01$69.52$62.58RVU20C
2020-04-01$69.52$62.58RVU20B
2020-01-01$69.52$62.58RVU20A
2019-10-01$67.46$62.36RVU19D
2019-07-01$67.46$62.36RVU19C
2019-04-01$67.46$62.36RVU19B
2019-01-01$67.46$62.36RVU19A
2018-10-01$65.21$62.66RVU18D
2018-07-01$65.21$62.66RVU18C
2018-04-01$65.21$62.66RVU18B
2018-01-01$65.21$62.66RVU18AR1
2017-10-01$62.83$62.47RVU17D
2017-07-01$62.83$62.47RVU17C
2017-04-01$62.83$62.47RVU17B
2017-01-01$62.83$62.47RVU17A
2016-10-01$62.68$62.31RVU16D
2016-07-01$62.68$62.31RVU16C
2016-04-01$62.68$62.31RVU16B
2016-01-01$62.68$62.31RVU16A
2015-10-01$62.90$62.54RVU15D
2015-07-01$62.90$62.54RVU15C
2015-04-01$62.59$62.23RVU15B
2015-01-01$62.59$62.23RVU15A
2014-10-01$63.12$62.75RVU14D
2014-07-01$63.12$62.75RVU14C
2014-04-01$63.12$62.75RVU14B
2014-01-01$63.12$62.75RVU14A
2013-10-01Contractor-pricedContractor-pricedRVU13D
2013-07-01Contractor-pricedContractor-pricedRVU13C
2013-04-01Contractor-pricedContractor-pricedRVU13B
2013-01-01Contractor-pricedContractor-pricedRVU13AR

Price 90840 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

90840 billing questions

Can 90840 be billed by itself?

No. Report it only with 90839, the primary code for the initial crisis psychotherapy service.

When should 90840 be added to 90839?

Use 90840 when crisis psychotherapy continues beyond the initial service represented by 90839. Each 90840 unit represents an additional 30 minutes, subject to applicable CPT time thresholds.

What documentation supports an additional unit?

Record the nature of the crisis, the therapeutic interventions, the patient’s response, and the total time spent. The record should support the additional time beyond the 90839 service.

Is 90840 appropriate for a long routine therapy session?

No. It is for additional time in crisis psychotherapy reported with 90839, not simply for extending a scheduled psychotherapy visit.

Can a modifier replace the required 90839 pairing?

No. 90840 must be reported with 90839; a modifier does not make it a stand-alone 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 90840PPRRVU2026_Oct_nonQPP.csv, line 11,536 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 90840 pays in Minnesota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 90840 and the rest of your codes on one sheet

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

Join the waitlist