CPT code 90846: Family psychotherapy, patient absent, 50 minutes2026 Medicare rate & RVUs in Mississippi

Psychotherapy with a patient's family members or caregivers, without the patient present, is reported for a 50-minute session directed toward the patient's treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality22.3K Medicare services in 2024

In Mississippi, Medicare pays $103.76 for 90846 in the office and $98.01 when it’s performed in a hospital or facility.

$103.76Office (non-facility)
$98.01Hospital or facility
−2.0%vs the national office rate ($105.88)

Check a contract rate as a % of Medicare · 90846 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 90846 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 90846 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 90846 covers

A clinician conducts psychotherapy with a patient's family members or caregivers while the patient is absent. The session addresses family interactions, communication, or responses to symptoms as part of treating the patient's mental health condition. For example, a therapist may work with a caregiver on responding to the patient's symptoms and supporting treatment goals. The service is performed in outpatient mental health settings and is distinct from counseling the family about its own concerns without a treatment focus on the patient.

Report 90846 for the 50-minute family psychotherapy service when the patient does not participate. The record should identify the family participants, the patient's condition and treatment goals, the psychotherapy interventions, the time spent, and how the session supports the patient's treatment. CMS coverage is restricted: payment is available only in specific circumstances, so documentation should make the connection to the patient's care clear. Choose a different psychotherapy code when the patient participates or when the service is group therapy.

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 90846: 90846 vs 90847 · Mental health billing

How Mississippi compares for 90846

Across 109 of 109 payment localities, the office rate for 90846 runs from $103.51 in Arkansas to $152.06 in Alaska. Mississippi pays $103.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

90846 in Mississippi vs other payment areas
  1. Mississippi · this page$103.76
  2. Los Angeles, CA · California$111.74+$7.98
  3. Washington, DC area · District of Columbia$113.31+$9.55
  4. Miami, FL · Florida$107.96+$4.20
  5. Chicago, IL · Illinois$107.89+$4.13
  6. Manhattan, NY · New York$114.49+$10.73
  7. Alaska · Alaska$152.06+$48.30

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

Every other payment area

90846 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$103.78$97.93
ArkansasArkansas$103.51$97.77
ArizonaArizona$105.32$98.85
Bakersfield, CACalifornia$108.51$101.19
Chico, CACalifornia$108.25$100.93
El Centro, CACalifornia$108.26$100.94
Fresno, CACalifornia$108.25$100.93
Hanford, CACalifornia$108.25$100.93

90846 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.

$103.51

$152.06

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

View every state and territory as a table
90846 office rate range by state
State / territoryOffice rate rangeLocalities
AK$152.061
AL$103.781
AR$103.511
AZ$105.321
CA$108.25–$121.3929
CO$107.611
CT$108.951
DC$113.311
DE$106.081
FL$105.80–$107.963
GA$104.63–$106.572
GU$107.291
HI$107.291
IA$104.141
ID$104.281
IL$105.28–$107.894
IN$104.391
KS$104.101
KY$104.311
LA$104.30–$105.232
MA$107.85–$112.112
MD$106.87–$113.313
ME$104.43–$105.392
MI$104.85–$106.102
MN$105.561
MO$104.01–$105.243
MS$103.761
MT$105.881
NC$104.621
ND$105.291
NE$104.231
NH$106.301
NJ$110.87–$113.852
NM$104.971
NV$105.731
NY$104.92–$115.125
OH$104.731
OK$104.231
OR$105.53–$108.572
PA$104.73–$108.272
PR$106.011
RI$107.951
SC$104.721
SD$105.221
TN$104.201
TX$104.61–$106.908
UT$104.981
VA$105.36–$113.312
VI$106.011
VT$105.251
WA$107.54–$113.312
WI$104.631
WV$104.561
WY$105.621

See 90846 in every payment locality

How the 90846 rate is calculated

Each of 90846’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 · 90846

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.74

2.74 RVUs× 1.000 GPCI

Practice expense0.40

0.40 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

3.1700

Conversion factor

$33.4009

Medicare rate

$105.88

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

11,538

Code
90846
Physician work
2.74
Practice expense
0.40
Malpractice
0.03

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 90846 in Mississippi
ComponentRVULocality factorAdjusted
Physician work2.74× 1.0002.7400
Practice expense0.40× 0.8610.3444
Malpractice0.03× 0.7390.0222
Total RVUs3.1066
Conversion factor× 33.4009

Office rate, Mississippi$103.76

Office: (2.74 × 1 + 0.4 × 0.861 + 0.03 × 0.739) × $33.4009 = $103.76

Facility: (2.74 × 1 + 0.2 × 0.861 + 0.03 × 0.739) × $33.4009 = $98.01

Open 90846 in the RVU calculator

Payment rules and modifiers for 90846

90846 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 · 90846

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$105.88

Non-facility (office)
$105.88
Facility
$99.20

Higher because the practice carries its own overhead.

How 90846 has changed in Mississippi

90846 · Office / nonfacility

$103.76

Effective 2026-10-01

The base rate is $7.28 higher than on 2025-10-01, moving from $96.48 to $103.76 (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

    $96.48changed to$103.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.63 changed to 2.74
    • Practice expense RVU 0.36 changed to 0.40
    • Malpractice RVU 0.06 changed to 0.03
    • 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

    $95.27changed to$96.48

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 2.51 changed to 2.63
    • Practice expense RVU 0.35 changed to 0.36
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $93.71changed to$95.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $93.08changed to$93.71

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 2.40 changed to 2.51
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $95.34changed to$93.08

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.09 changed to 0.07
    • 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

    $96.13changed to$95.34

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $100.05changed to$96.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.38 changed to 0.35
    • 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

    $105.57changed to$100.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.57 changed to 0.38
    • 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

    $102.63changed to$105.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.48 changed to 0.57

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $99.86changed to$102.63

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.39 changed to 0.48
    • 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

    $100.28changed to$99.86

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.40 changed to 0.39
    • 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

    $100.20changed to$100.28

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $99.70changed to$100.20

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $101.20changed to$99.70

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.42 changed to 0.40
    • Malpractice RVU 0.09 changed to 0.07
    • 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

    $72.03changed to$101.20

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 1.83 changed to 2.40
    • Practice expense RVU 0.27 changed to 0.42
    • Malpractice RVU 0.07 changed to 0.09
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $72.03

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$103.76$98.01RVU26D
2026-07-01$103.76$98.01RVU26C
2026-04-01$103.76$98.01RVU26B
2026-01-01$103.76$98.01RVU26A
2025-10-01$96.48$96.21RVU25D
2025-07-01$96.48$96.21RVU25C
2025-04-01$96.48$96.21RVU25B
2025-01-01$96.48$96.21RVU25A
2024-10-01$95.27$94.98RVU24D
2024-07-01$95.27$94.98RVU24C
2024-04-01$95.27$94.98RVU24B
2024-03-09$95.27$94.98RVU24AR
2024-01-01$93.71$93.43RVU24A
2023-10-01$93.08$92.80RVU23D
2023-07-01$93.08$92.80RVU23C
2023-04-01$93.08$92.80RVU23B
2023-01-01$93.08$92.80RVU23A
2022-10-01$95.34$94.76RVU22D
2022-07-01$95.34$94.76RVU22C
2022-04-01$95.34$94.76RVU22B
2022-01-01$95.34$94.76RVU22A
2021-10-01$96.13$95.55RVU21D
2021-07-01$96.13$95.55RVU21C
2021-04-01$96.13$95.55RVU21B
2021-01-01$96.13$95.55RVU21A
2020-10-01$100.05$99.43RVU20D
2020-07-01$100.05$99.43RVU20C
2020-04-01$100.05$99.43RVU20B
2020-01-01$100.05$99.43RVU20A
2019-10-01$105.57$98.98RVU19D
2019-07-01$105.57$98.98RVU19C
2019-04-01$105.57$98.98RVU19B
2019-01-01$105.57$98.98RVU19A
2018-10-01$102.63$99.19RVU18D
2018-07-01$102.63$99.19RVU18C
2018-04-01$102.63$99.19RVU18B
2018-01-01$102.63$99.19RVU18AR1
2017-10-01$99.86$99.23RVU17D
2017-07-01$99.86$99.23RVU17C
2017-04-01$99.86$99.23RVU17B
2017-01-01$99.86$99.23RVU17A
2016-10-01$100.28$99.66RVU16D
2016-07-01$100.28$99.66RVU16C
2016-04-01$100.28$99.66RVU16B
2016-01-01$100.28$99.66RVU16A
2015-10-01$100.20$99.58RVU15D
2015-07-01$100.20$99.58RVU15C
2015-04-01$99.70$99.08RVU15B
2015-01-01$99.70$99.08RVU15A
2014-10-01$101.20$100.58RVU14D
2014-07-01$101.20$100.58RVU14C
2014-04-01$101.20$100.58RVU14B
2014-01-01$101.20$100.58RVU14A
2013-10-01$72.03$75.86RVU13D
2013-07-01$72.03$75.86RVU13C
2013-04-01$72.03$75.86RVU13B
2013-01-01$72.03$75.86RVU13AR

Price 90846 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

90846 billing questions

How is 90846 different from 90847?

Use 90846 when the patient is absent from the family psychotherapy session. Use 90847 when the patient participates.

What should the note say when the patient is absent?

Identify the family participants, the patient's treatment goals, the interventions provided, and how the session supports treatment of the patient. Document the session time and the patient's absence.

Can 90846 be used for family counseling unrelated to a patient's treatment?

The service must be directed toward treating the patient's condition. CMS pays 90846 only in specific circumstances.

Should 90846 be reported for a session with several families?

No. 90846 describes psychotherapy with one patient's family while that patient is absent. Multiple-family group psychotherapy is a different service.

Can 90846 be reported when the patient joins for part of the session?

90846 is for family psychotherapy without the patient present. If the patient participates in the family psychotherapy, 90847 is the corresponding code.

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 90846PPRRVU2026_Oct_nonQPP.csv, line 11,538 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 90846 pays in Mississippi?

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 90846 and the rest of your codes on one sheet

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

Join the waitlist