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

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 Mississippi, Medicare pays $74.29 for 90840 in the office and $61.64 when it’s performed in a hospital or facility.

$74.29Office (non-facility)
$61.64Hospital or facility
−3.7%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 Mississippi
  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 Mississippi 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. Mississippi pays $74.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

90840 in Mississippi vs other payment areas
  1. Mississippi · this page$74.29
  2. Los Angeles, CA · California$82.82+$8.53
  3. Washington, DC area · District of Columbia$83.76+$9.47
  4. Miami, FL · Florida$78.97+$4.68
  5. Chicago, IL · Illinois$78.52+$4.23
  6. Manhattan, NY · New York$84.34+$10.05
  7. Alaska · Alaska$106.67+$32.38

Other areas in Mississippi 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 Mississippi 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

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 90840 in Mississippi
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0001.7100
Practice expense0.58× 0.8610.4994
Malpractice0.02× 0.7390.0148
Total RVUs2.2242
Conversion factor× 33.4009

Office rate, Mississippi$74.29

Office: (1.71 × 1 + 0.58 × 0.861 + 0.02 × 0.739) × $33.4009 = $74.29

Facility: (1.71 × 1 + 0.14 × 0.861 + 0.02 × 0.739) × $33.4009 = $61.64

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 Mississippi

90840 · Office / nonfacility

$74.29

Effective 2026-10-01

The base rate is $4.59 higher than on 2025-10-01, moving from $69.70 to $74.29 (6.6%).

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

    $69.70changed to$74.29

    • 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 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $69.34changed to$69.70

    • 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

    $68.21changed to$69.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $66.85changed to$68.21

    • 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 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $68.16changed to$66.85

    • 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 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $65.85changed to$68.16

    • 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

    $67.62changed to$65.85

    • 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 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $65.70changed to$67.62

    • 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 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $63.75changed to$65.70

    • 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

    $61.87changed to$63.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.23 changed to 0.29
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $61.92changed to$61.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $62.14changed to$61.92

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $61.83changed to$62.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $62.65changed to$61.83

    • 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 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$62.65

    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$74.29$61.64RVU26D
2026-07-01$74.29$61.64RVU26C
2026-04-01$74.29$61.64RVU26B
2026-01-01$74.29$61.64RVU26A
2025-10-01$69.70$62.81RVU25D
2025-07-01$69.70$62.81RVU25C
2025-04-01$69.70$62.81RVU25B
2025-01-01$69.70$62.81RVU25A
2024-10-01$69.34$62.53RVU24D
2024-07-01$69.34$62.53RVU24C
2024-04-01$69.34$62.53RVU24B
2024-03-09$69.34$62.53RVU24AR
2024-01-01$68.21$61.51RVU24A
2023-10-01$66.85$60.53RVU23D
2023-07-01$66.85$60.53RVU23C
2023-04-01$66.85$60.53RVU23B
2023-01-01$66.85$60.53RVU23A
2022-10-01$68.16$61.75RVU22D
2022-07-01$68.16$61.75RVU22C
2022-04-01$68.16$61.75RVU22B
2022-01-01$68.16$61.75RVU22A
2021-10-01$65.85$59.09RVU21D
2021-07-01$65.85$59.09RVU21C
2021-04-01$65.85$59.09RVU21B
2021-01-01$65.85$59.09RVU21A
2020-10-01$67.62$61.75RVU20D
2020-07-01$67.62$61.75RVU20C
2020-04-01$67.62$61.75RVU20B
2020-01-01$67.62$61.75RVU20A
2019-10-01$65.70$61.31RVU19D
2019-07-01$65.70$61.31RVU19C
2019-04-01$65.70$61.31RVU19B
2019-01-01$65.70$61.31RVU19A
2018-10-01$63.75$61.56RVU18D
2018-07-01$63.75$61.56RVU18C
2018-04-01$63.75$61.56RVU18B
2018-01-01$63.75$61.56RVU18AR1
2017-10-01$61.87$61.56RVU17D
2017-07-01$61.87$61.56RVU17C
2017-04-01$61.87$61.56RVU17B
2017-01-01$61.87$61.56RVU17A
2016-10-01$61.92$61.61RVU16D
2016-07-01$61.92$61.61RVU16C
2016-04-01$61.92$61.61RVU16B
2016-01-01$61.92$61.61RVU16A
2015-10-01$62.14$61.83RVU15D
2015-07-01$62.14$61.83RVU15C
2015-04-01$61.83$61.52RVU15B
2015-01-01$61.83$61.52RVU15A
2014-10-01$62.65$62.34RVU14D
2014-07-01$62.65$62.34RVU14C
2014-04-01$62.65$62.34RVU14B
2014-01-01$62.65$62.34RVU14A
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 Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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 MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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