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

In South Dakota, Medicare pays $76.71 for 90840 in the office and $62.02 when it’s performed in a hospital or facility.

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.

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.

How South Dakota 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. South Dakota pays $76.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90840 rates by state

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

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.

Payment rules and modifiers for 90840

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

Codes related to 90840

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

How 90840 has changed in South Dakota

Price 90840 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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