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CMS RVU26D · Effective 2026-10-01

90834 in Austin

Office / nonfacility

$115.60

Base rate per service

Facility setting

$92.28

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Psychiatry services

About 90834: Individual psychotherapy with patient, 45 minutes

Report this individual psychotherapy service for 38 to 52 minutes with the patient when the clinician does not perform E/M with the psychotherapy.

This service is an individual psychotherapy session in which a clinician uses techniques such as cognitive behavioral therapy, supportive therapy, or insight-oriented work to treat a mental health or substance use condition. The patient participates for all or part of the session; a family member or caregiver may join. Clinical psychologists, clinical social workers, psychiatrists, psychiatric nurse practitioners, and Medicare-enrolled marriage and family therapists or mental health counselors provide it in offices, outpatient clinics, and eligible telehealth encounters.

Select 90834 using psychotherapy time: 38 through 52 minutes. Use 90832 for 16 through 37 minutes and 90837 for 53 minutes or more. Document total psychotherapy minutes or start and stop times, the therapeutic approach, clinical focus, patient response, and progress toward treatment goals. Exclude time spent on E/M activities or testing. If the same clinician performs a separately identifiable E/M service with psychotherapy, report the appropriate psychotherapy add-on instead; for 38 through 52 minutes, that is 90836. Interactive complexity add-on 90785 may accompany 90834 when its qualifying communication factors are documented.

Where the value comes from

  • Work RVU2.56 · 75%
  • Practice expense (office) RVU0.83 · 24%
  • Malpractice RVU0.02 · 1%

3.4M

Medicare services in 2024 · #56 by national volume

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.

90834 compared with similar codes

Office rates for Austin, from the same CMS release.

90837

Psychotherapy

60 minutes, no E/M

$169.51

Both are individual psychotherapy codes without E/M performed with the therapy. Use 90834 for 38 to 52 minutes; use 90837 once psychotherapy time reaches 53 minutes.

90836

Psychotherapy

With E/M, 38–52 minutes

$104.68

90836 is a psychotherapy add-on for 38 to 52 minutes when the same clinician performs a separately identifiable E/M service with the therapy. Report 90834 when that clinician provides psychotherapy without E/M.

90832

Psychotherapy session

30 minutes, without E/M

$87.13

90832 covers 16 to 37 minutes of psychotherapy. Use 90834 when documented psychotherapy time reaches 38 through 52 minutes.

90847

Family therapy

Patient present, 50 minutes

$110.44

90847 is family psychotherapy focused on family interactions, with the patient present. Individual-focused therapy remains 90834 when a family member joins the patient's session.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 90834 is $111.35—$4.25 lower than the $115.60 rate in Austin. Both use the same code, release and participation basis.

90834 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $115.60

  2. Beaumont

    $111.35

    $4.25 lower than Austin

  3. Brazoria

    $114.18

    $1.42 lower than Austin

  4. Dallas

    $114.46

    $1.14 lower than Austin

  5. Fort Worth

    $114.19

    $1.41 lower than Austin

  6. Galveston

    $114.27

    $1.33 lower than Austin

  7. Houston

    $114.64

    $0.96 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 90834 ranges from $109.66 in Arkansas to $158.15 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 90834

    Office

    $112.42

    Facility

    $91.50

    $3.18 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 90834

    Office

    $122.25

    Facility

    $96.17

    $6.65 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 90834

    Office

    $123.52

    Facility

    $97.56

    $7.92 higher than Austin for the office setting.

  • Miami

    Florida · 90834

    Office

    $116.06

    Facility

    $93.11

    $0.46 higher than Austin for the office setting.

  • Chicago

    Illinois · 90834

    Office

    $115.50

    Facility

    $93.34

    $0.10 lower than Austin for the office setting.

  • Manhattan

    New York · 90834

    Office

    $124.25

    Facility

    $98.64

    $8.65 higher than Austin for the office setting.

  • Alaska*

    Alaska · 90834

    Office

    $158.15

    Facility

    $134.67

    $42.55 higher than Austin for the office setting.

  • Alabama

    Alabama · 90834

    Office

    $110.14

    Facility

    $90.85

    $5.46 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 90834

    Office

    $109.66

    Facility

    $90.73

    $5.94 lower than Austin for the office setting.

  • Arizona

    Arizona · 90834

    Office

    $112.94

    Facility

    $91.58

    $2.66 lower than Austin for the office setting.

  • Bakersfield

    California · 90834

    Office

    $117.92

    Facility

    $93.76

    $2.32 higher than Austin for the office setting.

  • Chico

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • El Centro

    California · 90834

    Office

    $117.71

    Facility

    $93.54

    $2.11 higher than Austin for the office setting.

  • Fresno

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Madera

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Merced

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Modesto

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Napa

    California · 90834

    Office

    $127.77

    Facility

    $98.72

    $12.17 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 90834

    Office

    $121.08

    Facility

    $95.03

    $5.48 higher than Austin for the office setting.

  • Redding

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Rest Of California

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 90834

    Office

    $118.00

    Facility

    $93.84

    $2.40 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 90834

    Office

    $121.18

    Facility

    $95.55

    $5.58 higher than Austin for the office setting.

  • Salinas

    California · 90834

    Office

    $120.65

    Facility

    $95.10

    $5.05 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 90834

    Office

    $121.59

    Facility

    $95.22

    $5.99 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 90834

    Office

    $133.03

    Facility

    $101.94

    $17.43 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 90834

    Office

    $133.00

    Facility

    $101.92

    $17.40 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 90834

    Office

    $135.25

    Facility

    $103.46

    $19.65 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 90834

    Office

    $135.15

    Facility

    $103.37

    $19.55 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 90834

    Office

    $118.89

    Facility

    $93.79

    $3.29 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 90834

    Office

    $121.34

    Facility

    $94.56

    $5.74 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 90834

    Office

    $120.58

    Facility

    $94.88

    $4.98 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 90834

    Office

    $122.47

    Facility

    $95.40

    $6.87 higher than Austin for the office setting.

  • Stockton

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Vallejo

    California · 90834

    Office

    $127.74

    Facility

    $98.68

    $12.14 higher than Austin for the office setting.

  • Visalia

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Yuba City

    California · 90834

    Office

    $117.70

    Facility

    $93.54

    $2.10 higher than Austin for the office setting.

  • Colorado

    Colorado · 90834

    Office

    $116.55

    Facility

    $93.10

    $0.95 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 90834

    Office

    $117.88

    Facility

    $94.14

    $2.28 higher than Austin for the office setting.

  • Delaware

    Delaware · 90834

    Office

    $113.92

    Facility

    $92.14

    $1.68 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 90834

    Office

    $114.80

    Facility

    $92.47

    $0.80 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 90834

    Office

    $113.01

    Facility

    $91.94

    $2.59 lower than Austin for the office setting.

  • Atlanta

    Georgia · 90834

    Office

    $114.73

    Facility

    $92.33

    $0.87 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 90834

    Office

    $111.03

    Facility

    $91.37

    $4.57 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 90834

    Office

    $117.41

    Facility

    $92.35

    $1.81 higher than Austin for the office setting.

  • Iowa

    Iowa · 90834

    Office

    $111.14

    Facility

    $90.97

    $4.46 lower than Austin for the office setting.

  • Idaho

    Idaho · 90834

    Office

    $111.33

    Facility

    $91.05

    $4.27 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 90834

    Office

    $112.36

    Facility

    $92.08

    $3.24 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 90834

    Office

    $111.86

    Facility

    $91.73

    $3.74 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 90834

    Office

    $115.76

    Facility

    $93.12

    $0.16 higher than Austin for the office setting.

  • Indiana

    Indiana · 90834

    Office

    $111.53

    Facility

    $91.09

    $4.07 lower than Austin for the office setting.

  • Kansas

    Kansas · 90834

    Office

    $110.90

    Facility

    $90.98

    $4.70 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 90834

    Office

    $110.76

    Facility

    $91.17

    $4.84 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 90834

    Office

    $112.35

    Facility

    $91.61

    $3.25 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 90834

    Office

    $110.68

    Facility

    $91.17

    $4.92 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 90834

    Office

    $122.71

    Facility

    $96.39

    $7.11 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 90834

    Office

    $116.60

    Facility

    $93.39

    $1.00 higher than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 90834

    Office

    $117.45

    Facility

    $93.79

    $1.85 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 90834

    Office

    $115.03

    Facility

    $92.72

    $0.57 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 90834

    Office

    $111.43

    Facility

    $91.15

    $4.17 lower than Austin for the office setting.

  • Southern Maine

    Maine · 90834

    Office

    $113.40

    Facility

    $91.55

    $2.20 lower than Austin for the office setting.

  • Detroit

    Michigan · 90834

    Office

    $113.39

    Facility

    $92.11

    $2.21 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 90834

    Office

    $111.57

    Facility

    $91.44

    $4.03 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 90834

    Office

    $114.23

    Facility

    $91.55

    $1.37 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 90834

    Office

    $112.19

    Facility

    $91.49

    $3.41 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 90834

    Office

    $112.57

    Facility

    $91.58

    $3.03 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 90834

    Office

    $110.05

    Facility

    $91.05

    $5.55 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 90834

    Office

    $109.87

    Facility

    $90.89

    $5.73 lower than Austin for the office setting.

  • Montana**

    Montana · 90834

    Office

    $113.90

    Facility

    $91.85

    $1.70 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 90834

    Office

    $111.80

    Facility

    $91.23

    $3.80 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 90834

    Office

    $113.50

    Facility

    $91.46

    $2.10 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 90834

    Office

    $111.35

    Facility

    $91.00

    $4.25 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 90834

    Office

    $114.95

    Facility

    $92.00

    $0.65 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 90834

    Office

    $123.77

    Facility

    $98.19

    $8.17 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 90834

    Office

    $119.93

    Facility

    $95.86

    $4.33 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 90834

    Office

    $111.73

    Facility

    $91.52

    $3.87 lower than Austin for the office setting.

  • Nevada**

    Nevada · 90834

    Office

    $113.81

    Facility

    $91.75

    $1.79 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 90834

    Office

    $125.18

    Facility

    $98.97

    $9.58 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 90834

    Office

    $120.52

    Facility

    $96.38

    $4.92 higher than Austin for the office setting.

  • Queens

    New York · 90834

    Office

    $124.71

    Facility

    $98.65

    $9.11 higher than Austin for the office setting.

  • Rest Of New York

    New York · 90834

    Office

    $112.31

    Facility

    $91.37

    $3.29 lower than Austin for the office setting.

  • Ohio

    Ohio · 90834

    Office

    $111.49

    Facility

    $91.36

    $4.11 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 90834

    Office

    $110.78

    Facility

    $91.10

    $4.82 lower than Austin for the office setting.

  • Portland

    Oregon · 90834

    Office

    $118.17

    Facility

    $93.68

    $2.57 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 90834

    Office

    $113.59

    Facility

    $91.63

    $2.01 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 90834

    Office

    $116.70

    Facility

    $93.75

    $1.10 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 90834

    Office

    $111.59

    Facility

    $91.35

    $4.01 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 90834

    Office

    $114.19

    Facility

    $91.90

    $1.41 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 90834

    Office

    $116.36

    Facility

    $93.59

    $0.76 higher than Austin for the office setting.

  • South Carolina

    South Carolina · 90834

    Office

    $111.69

    Facility

    $91.32

    $3.91 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 90834

    Office

    $113.45

    Facility

    $91.41

    $2.15 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 90834

    Office

    $111.07

    Facility

    $91.03

    $4.53 lower than Austin for the office setting.

  • Utah

    Utah · 90834

    Office

    $112.17

    Facility

    $91.44

    $3.43 lower than Austin for the office setting.

  • Virginia

    Virginia · 90834

    Office

    $113.23

    Facility

    $91.56

    $2.37 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 90834

    Office

    $114.19

    Facility

    $91.90

    $1.41 lower than Austin for the office setting.

  • Vermont

    Vermont · 90834

    Office

    $113.29

    Facility

    $91.47

    $2.31 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 90834

    Office

    $116.32

    Facility

    $93.11

    $0.72 higher than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 90834

    Office

    $124.34

    Facility

    $97.29

    $8.74 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 90834

    Office

    $112.27

    Facility

    $91.15

    $3.33 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 90834

    Office

    $110.55

    Facility

    $91.40

    $5.05 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 90834

    Office

    $113.72

    Facility

    $91.68

    $1.88 lower than Austin for the office setting.

See how rates vary across the country

90834 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$109.66

$158.15

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$158.151
AL$110.141
AR$109.661
AZ$112.941
CA$117.70–$135.2529
CO$116.551
CT$117.881
DC$123.521
DE$113.921
FL$113.01–$116.063
GA$111.03–$114.732
GU$117.411
HI$117.411
IA$111.141
ID$111.331
IL$111.86–$115.764
IN$111.531
KS$110.901
KY$110.761
LA$110.68–$112.352
MA$116.60–$122.712
MD$115.03–$123.523
ME$111.43–$113.402
MI$111.57–$113.392
MN$114.231
MO$110.05–$112.573
MS$109.871
MT$113.901
NC$111.801
ND$113.501
NE$111.351
NH$114.951
NJ$119.93–$123.772
NM$111.731
NV$113.811
NY$112.31–$125.185
OH$111.491
OK$110.781
OR$113.59–$118.172
PA$111.59–$116.702
PR$114.191
RI$116.361
SC$111.691
SD$113.451
TN$111.071
TX$111.35–$115.608
UT$112.171
VA$113.23–$123.522
VI$114.191
VT$113.291
WA$116.32–$124.342
WI$112.271
WV$110.551
WY$113.721

Explore 90834 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 90834 in Austin, the physician’s office rate is $115.60 and the facility-setting rate is $92.28: a difference of $23.32.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 90834 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$127.16

$115.60 × 110% = $127.16

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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Behavioral health

Compare selected psychiatric diagnostic and individual psychotherapy base rates.

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 90834 in Austin.

PPRRVU2026_Oct_nonQPP.csv

11,531

Code
90834
Physician work
2.56
Practice expense
0.83
Malpractice
0.02

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 90834 in Austin
ComponentRVULocality factorAdjusted
Physician work2.56× 1.0022.5651
Practice expense0.83× 1.0580.8781
Malpractice0.02× 0.8860.0177
Total RVUs3.4610
Conversion factor× 33.4009

Office / nonfacility rate, Austin$115.60

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 90834 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.561.002
Practice expense0.831.058
Malpractice0.020.886

(2.56 × 1.002 + 0.83 × 1.058 + 0.02 × 0.886) × $33.4009 = $115.60

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.561.002
Practice expense0.171.058
Malpractice0.020.886

(2.56 × 1.002 + 0.17 × 1.058 + 0.02 × 0.886) × $33.4009 = $92.28

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

90834 · Office / nonfacility

$115.60

Effective 2026-10-01

The base rate is $10.51 higher than on 2025-10-01, moving from $105.09 to $115.60 (10.0%).

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

    $105.09changed to$115.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.45 changed to 2.56
    • Practice expense RVU 0.72 changed to 0.83
    • Malpractice RVU 0.05 changed to 0.02
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $105.09

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$115.60$92.28RVU26D
2026-07-01$115.60$92.28RVU26C
2026-04-01$115.60$92.28RVU26B
2026-01-01$115.60$92.28RVU26A
2025-10-01$105.09$91.22RVU25D
2025-07-01$105.09$91.22RVU25C
2025-04-01$105.09$91.22RVU25B
2025-01-01$105.09$91.22RVU25A

90834 billing questions

How many minutes are needed to report this code instead of the 30- or 60-minute code?

Psychotherapy time of 38 to 52 minutes supports 90834. Use 90832 for 16 to 37 minutes and 90837 for 53 minutes or more.

Can a psychiatrist bill this code along with an E/M visit on the same day?

When the same clinician performs a separately identifiable E/M service with 38 to 52 minutes of psychotherapy, report add-on code 90836 with the E/M code instead of 90834. An E/M service by another clinician does not, by itself, change the psychotherapy code.

Does the patient have to be in the room the entire session?

The patient must participate for all or part of the session, and family members or caregivers may join. If treatment focuses on family interactions rather than the patient's individual therapy, consider the applicable family psychotherapy code.

When can interactive complexity be added?

Add-on code 90785 may be reported when documented qualifying factors complicate communication, such as caregiver interference, mandated reporting to a third party, or specialized communication aids needed for a patient with limited expressive or receptive skills. Routine language translation alone does not qualify.

Can this code be reported on the same day as crisis psychotherapy?

Do not report 90834 with crisis psychotherapy codes 90839 or 90840 for the same clinician on the same date. Use the crisis codes when an acute crisis requires immediate assessment and intervention.

What documentation supports this code on audit?

Record total psychotherapy minutes or start and stop times, the modality used, the clinical focus, the patient's response, and how the session ties to the treatment plan. Do not count time spent on E/M activities or testing toward psychotherapy minutes.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 90834PPRRVU2026_Oct_nonQPP.csv, line 11,531 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet