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

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 Indiana, Medicare pays $38.80 for 90849 in the office and $29.21 when it’s performed in a hospital or facility.

$38.80Office (non-facility)
$29.21Hospital or facility
−4.0%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 Indiana
  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 Indiana 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. Indiana pays $38.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

90849 in Indiana vs other payment areas
  1. Indiana · this page$38.80
  2. Los Angeles, CA · California$44.29+$5.49
  3. Washington, DC area · District of Columbia$44.79+$5.99
  4. Miami, FL · Florida$42.15+$3.35
  5. Chicago, IL · Illinois$41.52+$2.72
  6. Manhattan, NY · New York$45.05+$6.25
  7. Alaska · Alaska$52.43+$13.63

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

Every other payment area

90849 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$37.95$28.89
ArkansasArkansas$37.64$28.75
ArizonaArizona$39.78$29.75
Bakersfield, CACalifornia$42.25$30.90
Chico, CACalifornia$42.15$30.80
El Centro, CACalifornia$42.16$30.81
Fresno, CACalifornia$42.15$30.80
Hanford, CACalifornia$42.15$30.80

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 Indiana 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

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 90849 in Indiana
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0000.6700
Practice expense0.52× 0.9270.4820
Malpractice0.02× 0.4860.0097
Total RVUs1.1618
Conversion factor× 33.4009

Office rate, Indiana$38.80

Office: (0.67 × 1 + 0.52 × 0.927 + 0.02 × 0.486) × $33.4009 = $38.80

Facility: (0.67 × 1 + 0.21 × 0.927 + 0.02 × 0.486) × $33.4009 = $29.21

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 Indiana

90849 · Office / nonfacility

$38.80

Effective 2026-10-01

The base rate is $2.85 higher than on 2025-10-01, moving from $35.95 to $38.80 (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

    $35.95changed to$38.80

    • 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
    • Practice expense GPCI 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $36.00changed to$35.95

    • 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

    $35.41changed to$36.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $35.44changed to$35.41

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 0.59 changed to 0.62
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485
  5. January 1, 2023

    RVU23A

    $33.51changed to$35.44

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.41 changed to 0.49
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $33.47changed to$33.51

    • 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

    $35.06changed to$33.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.41 changed to 0.40
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $40.08changed to$35.06

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.56 changed to 0.41
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $35.54changed to$40.08

    • 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

    $33.60changed to$35.54

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.36 changed to 0.42
    • Practice expense GPCI 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $33.00changed to$33.60

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.34 changed to 0.36
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $34.11changed to$33.00

    • 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

    $33.94changed to$34.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $33.03changed to$33.94

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.34 changed to 0.37
    • Practice expense GPCI 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $32.63changed to$33.03

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.38 changed to 0.34
    • Practice expense GPCI 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $32.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$38.80$29.21RVU26D
2026-07-01$38.80$29.21RVU26C
2026-04-01$38.80$29.21RVU26B
2026-01-01$38.80$29.21RVU26A
2025-10-01$35.95$28.50RVU25D
2025-07-01$35.95$28.50RVU25C
2025-04-01$35.95$28.50RVU25B
2025-01-01$35.95$28.50RVU25A
2024-10-01$36.00$28.33RVU24D
2024-07-01$36.00$28.33RVU24C
2024-04-01$36.00$28.33RVU24B
2024-03-09$36.00$28.33RVU24AR
2024-01-01$35.41$27.86RVU24A
2023-10-01$35.44$27.72RVU23D
2023-07-01$35.44$27.72RVU23C
2023-04-01$35.44$27.72RVU23B
2023-01-01$35.44$27.72RVU23A
2022-10-01$33.51$27.28RVU22D
2022-07-01$33.51$27.28RVU22C
2022-04-01$33.51$27.28RVU22B
2022-01-01$33.51$27.28RVU22A
2021-10-01$33.47$27.19RVU21D
2021-07-01$33.47$27.19RVU21C
2021-04-01$33.47$27.19RVU21B
2021-01-01$33.47$27.19RVU21A
2020-10-01$35.06$28.49RVU20D
2020-07-01$35.06$28.49RVU20C
2020-04-01$35.06$28.49RVU20B
2020-01-01$35.06$28.49RVU20A
2019-10-01$40.08$30.15RVU19D
2019-07-01$40.08$30.15RVU19C
2019-04-01$40.08$30.15RVU19B
2019-01-01$40.08$30.15RVU19A
2018-10-01$35.54$30.58RVU18D
2018-07-01$35.54$30.58RVU18C
2018-04-01$35.54$30.58RVU18B
2018-01-01$35.54$30.58RVU18AR1
2017-10-01$33.60$30.30RVU17D
2017-07-01$33.60$30.30RVU17C
2017-04-01$33.60$30.30RVU17B
2017-01-01$33.60$30.30RVU17A
2016-10-01$33.00$29.70RVU16D
2016-07-01$33.00$29.70RVU16C
2016-04-01$33.00$29.70RVU16B
2016-01-01$33.00$29.70RVU16A
2015-10-01$34.11$30.80RVU15D
2015-07-01$34.11$30.80RVU15C
2015-04-01$33.94$30.65RVU15B
2015-01-01$33.94$30.65RVU15A
2014-10-01$33.03$29.72RVU14D
2014-07-01$33.03$29.72RVU14C
2014-04-01$33.03$29.72RVU14B
2014-01-01$33.03$29.72RVU14A
2013-10-01$32.63$27.61RVU13D
2013-07-01$32.63$27.61RVU13C
2013-04-01$32.63$27.61RVU13B
2013-01-01$32.63$27.61RVU13AR

Price 90849 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

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 IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 90849 pays in Indiana?

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

Fee sheets

Put 90849 and the rest of your codes on one sheet

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

Build my fee sheet