CPT code 90849: Family group therapy, multiple families2026 Medicare rate & RVUs in Oxnard, CA

Report 90849 for a psychotherapy session in which a clinician works with members of multiple families together around shared behavioral or mental health concerns.

CMS RVU26DEffective Oct 1, 2026One payment locality490 Medicare services in 2024

In Oxnard, CA, Medicare pays $43.95 for 90849 in the office and $31.71 when it’s performed in a hospital or facility.

$43.95Office (non-facility)
$31.71Hospital or facility
+8.7%vs the national office rate ($40.42)

Check a contract rate as a % of Medicare · 90849 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 90849 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 90849 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 90849 covers

A mental health clinician leads psychotherapy with members of multiple families in the same session. The work may focus on recurring relationship patterns, family responses to a child’s behavioral or emotional difficulties, or coping approaches shared across families facing similar concerns. The session is psychotherapy, not simply a presentation or general support meeting. Psychiatrists, psychologists, and other qualified mental health clinicians may provide it in an office, clinic, or facility setting.

Choose 90849 when the treatment involves multiple family units participating together, rather than one family meeting with the clinician or a group of individual patients. Document the participating families, the clinical focus, and the therapeutic work performed. Report the session rather than separate units for each family or attendee. CMS assigns work, practice-expense, and malpractice RVUs; its office and facility practice-expense values are distinct.

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 Oxnard, CA compares for 90849

Across 109 of 109 payment localities, the office rate for 90849 runs from $37.64 in Arkansas to $52.43 in Alaska. Oxnard, CA pays $43.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

90849 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$43.95
  2. Bakersfield, CA · California$42.25−$1.70
  3. Chico, CA · California$42.15−$1.80
  4. El Centro, CA · California$42.16−$1.79
  5. Fresno, CA · California$42.15−$1.80
  6. Hanford, CA · California$42.15−$1.80
  7. Los Angeles, CA · California$44.29+$0.34

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

Every other payment area

90849 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$42.15$30.80
Merced, CACalifornia$42.15$30.80
Modesto, CACalifornia$42.15$30.80
Napa, CACalifornia$47.02$33.37
Redding, CACalifornia$42.15$30.80
Rest of CaliforniaCalifornia$42.15$30.80
Riverside, CACalifornia$42.39$31.04
Sacramento, CACalifornia$43.74$31.70

90849 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.

$37.64

$52.43

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

View every state and territory as a table
90849 office rate range by state
State / territoryOffice rate rangeLocalities
AK$52.431
AL$37.951
AR$37.641
AZ$39.781
CA$42.15–$50.2429
CO$41.651
CT$42.341
DC$44.791
DE$40.251
FL$39.99–$42.153
GA$38.67–$40.892
GU$42.511
HI$42.511
IA$38.541
ID$38.671
IL$39.28–$41.564
IN$38.801
KS$38.421
KY$38.431
LA$38.39–$39.482
MA$41.56–$44.632
MD$40.79–$44.793
ME$38.77–$40.012
MI$38.99–$40.272
MN$40.451
MO$38.00–$39.583
MS$37.831
MT$40.411
NC$39.011
ND$40.021
NE$38.661
NH$41.041
NJ$42.97–$44.652
NM$39.111
NV$40.321
NY$39.35–$45.705
OH$38.911
OK$38.411
OR$40.15–$42.532
PA$38.95–$41.662
PR$40.601
RI$41.341
SC$38.991
SD$39.971
TN$38.531
TX$38.80–$41.398
UT$39.301
VA$39.92–$44.792
VI$40.601
VT$39.911
WA$41.47–$45.352
WI$39.221
WV$38.431
WY$40.241

See 90849 in every payment locality

How the 90849 rate is calculated

Each of 90849’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 · 90849

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.67

0.67 RVUs× 1.000 GPCI

Practice expense0.52

0.52 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.2100

Conversion factor

$33.4009

Medicare rate

$40.42

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,540

Code
90849
Physician work
0.67
Practice expense
0.52
Malpractice
0.02

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 90849 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0280.6888
Practice expense0.52× 1.1820.6146
Malpractice0.02× 0.6230.0125
Total RVUs1.3159
Conversion factor× 33.4009

Office rate, Oxnard, CA$43.95

Office: (0.67 × 1.028 + 0.52 × 1.182 + 0.02 × 0.623) × $33.4009 = $43.95

Facility: (0.67 × 1.028 + 0.21 × 1.182 + 0.02 × 0.623) × $33.4009 = $31.71

Open 90849 in the RVU calculator

Payment rules and modifiers for 90849

90849 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 · 90849

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$40.42

Non-facility (office)
$40.42
Facility
$30.06

Higher because the practice carries its own overhead.

How 90849 has changed in Oxnard, CA

90849 · Office / nonfacility

$43.95

Effective 2026-10-01

The base rate is $3.21 higher than on 2025-10-01, moving from $40.74 to $43.95 (7.9%).

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

    $40.74changed to$43.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.65 changed to 0.67
    • Practice expense RVU 0.49 changed to 0.52
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $40.90changed to$40.74

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 0.62 changed to 0.65

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $40.24changed to$40.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $40.61changed to$40.24

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 0.59 changed to 0.62
    • Work GPCI 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651
  5. January 1, 2023

    RVU23A

    $38.20changed to$40.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.41 changed to 0.49
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $38.11changed to$38.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.40 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $39.78changed to$38.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.41 changed to 0.40
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.178 changed to 1.179
    • Malpractice GPCI 0.700 changed to 0.726

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.99changed to$39.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.56 changed to 0.41
    • Work GPCI 1.024 changed to 1.026
    • Practice expense GPCI 1.176 changed to 1.178
    • Malpractice GPCI 0.673 changed to 0.700

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $40.26changed to$45.99

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.42 changed to 0.56
    • Malpractice RVU 0.03 changed to 0.02

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $37.78changed to$40.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.36 changed to 0.42
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.178 changed to 1.176
    • Malpractice GPCI 0.754 changed to 0.673

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $37.02changed to$37.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.34 changed to 0.36
    • Work GPCI 1.030 changed to 1.027
    • Practice expense GPCI 1.180 changed to 1.178
    • Malpractice GPCI 0.834 changed to 0.754

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $38.42changed to$37.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.37 changed to 0.34

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $38.23changed to$38.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $37.04changed to$38.23

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.34 changed to 0.37
    • Work GPCI 1.032 changed to 1.030
    • Practice expense GPCI 1.187 changed to 1.180
    • Malpractice GPCI 0.720 changed to 0.834

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $36.80changed to$37.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.38 changed to 0.34
    • Work GPCI 1.034 changed to 1.032
    • Practice expense GPCI 1.193 changed to 1.187
    • Malpractice GPCI 0.605 changed to 0.720

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$36.80

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$43.95$31.71RVU26D
2026-07-01$43.95$31.71RVU26C
2026-04-01$43.95$31.71RVU26B
2026-01-01$43.95$31.71RVU26A
2025-10-01$40.74$31.18RVU25D
2025-07-01$40.74$31.18RVU25C
2025-04-01$40.74$31.18RVU25B
2025-01-01$40.74$31.18RVU25A
2024-10-01$40.90$31.06RVU24D
2024-07-01$40.90$31.06RVU24C
2024-04-01$40.90$31.06RVU24B
2024-03-09$40.90$31.06RVU24AR
2024-01-01$40.24$30.55RVU24A
2023-10-01$40.61$30.61RVU23D
2023-07-01$40.61$30.61RVU23C
2023-04-01$40.61$30.61RVU23B
2023-01-01$40.61$30.61RVU23A
2022-10-01$38.20$30.04RVU22D
2022-07-01$38.20$30.04RVU22C
2022-04-01$38.20$30.04RVU22B
2022-01-01$38.20$30.04RVU22A
2021-10-01$38.11$29.88RVU21D
2021-07-01$38.11$29.88RVU21C
2021-04-01$38.11$29.88RVU21B
2021-01-01$38.11$29.88RVU21A
2020-10-01$39.78$31.28RVU20D
2020-07-01$39.78$31.28RVU20C
2020-04-01$39.78$31.28RVU20B
2020-01-01$39.78$31.28RVU20A
2019-10-01$45.99$33.28RVU19D
2019-07-01$45.99$33.28RVU19C
2019-04-01$45.99$33.28RVU19B
2019-01-01$45.99$33.28RVU19A
2018-10-01$40.26$33.91RVU18D
2018-07-01$40.26$33.91RVU18C
2018-04-01$40.26$33.91RVU18B
2018-01-01$40.26$33.91RVU18AR1
2017-10-01$37.78$33.55RVU17D
2017-07-01$37.78$33.55RVU17C
2017-04-01$37.78$33.55RVU17B
2017-01-01$37.78$33.55RVU17A
2016-10-01$37.02$32.79RVU16D
2016-07-01$37.02$32.79RVU16C
2016-04-01$37.02$32.79RVU16B
2016-01-01$37.02$32.79RVU16A
2015-10-01$38.42$34.18RVU15D
2015-07-01$38.42$34.18RVU15C
2015-04-01$38.23$34.01RVU15B
2015-01-01$38.23$34.01RVU15A
2014-10-01$37.04$32.79RVU14D
2014-07-01$37.04$32.79RVU14C
2014-04-01$37.04$32.79RVU14B
2014-01-01$37.04$32.79RVU14A
2013-10-01$36.80$30.30RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 90849 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

90849 billing questions

How is 90849 different from group psychotherapy?

Use 90849 when multiple family units participate together in psychotherapy. Use 90853 for group psychotherapy that is not organized as a multiple-family session.

How many units should be reported?

Report the psychotherapy session, not a separate unit for each family or attendee. Document the group’s composition and the service provided.

How does 90849 differ from family psychotherapy?

90849 involves members of multiple families in the same session. Codes 90846 and 90847 describe family psychotherapy involving one family, with the patient absent or present, respectively.

What documentation supports 90849?

Record that multiple families participated, the clinical purpose of bringing them together, and the psychotherapy interventions provided. A general educational or informational meeting alone does not establish a psychotherapy service.

Is 90849 selected by session duration?

The code is not distinguished by a stated time increment. Document the service and session details in the clinical record.

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 90849PPRRVU2026_Oct_nonQPP.csv, line 11,540 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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