CPT code 90853: Group psychotherapy, single-patient group session2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $30.47 for 90853 in the office and $24.40 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 90853 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 90853 covers

A clinician leads a therapeutic session in which multiple patients work on behavioral health concerns through guided discussion, therapeutic exercises, and interaction with the group. Psychiatrists, psychologists, and other qualified mental health professionals may provide the service in settings such as an outpatient office or hospital outpatient department. The group session is distinct from a meeting limited to multiple families receiving treatment together.

Report 90853 for each patient receiving group treatment, supported by that patient’s record—not once for the group as a whole. Documentation should identify the group service, its therapeutic focus and interventions, and the patient’s attendance, participation, response, and connection to the treatment plan. Select this code for group psychotherapy, not for an individual psychotherapy session or family psychotherapy. CMS assigns work, practice-expense, and malpractice relative values; the practice-expense values differ between office and facility settings.

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 Puerto Rico compares for 90853

Across 109 of 109 payment localities, the office rate for 90853 runs from $29.15 in Arkansas to $41.93 in Alaska. Puerto Rico pays $30.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90853 rates by state

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

See 90853 in every payment locality

How the 90853 rate is calculated

Each of 90853’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 90853

90853 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.

Codes related to 90853

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

How 90853 has changed in Puerto Rico

Price 90853 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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