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CMS RVU26D · Effective 2026-10-01

90845 in Madera

Office / nonfacility

$112.63

Base rate per service

Facility setting

$89.56

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.

Behavioral health

About 90845: Individual psychoanalytic treatment

Report psychoanalysis for individual analytic treatment focused on unconscious processes and recurring patterns, rather than conventional time-based psychotherapy.

Psychoanalysis is an individual treatment that explores unconscious conflicts, recurring relationship patterns, and the meaning of thoughts and feelings. The clinician may use free association and examine patterns such as transference as they emerge in treatment. Psychiatrists and psychologists commonly provide this service in outpatient settings; other enrolled mental health clinicians may provide it when permitted by their scope of practice.

Select 90845 when the documented service is psychoanalytic treatment, not simply because an individual mental health session occurred. The code has no duration qualifier, unlike individual psychotherapy codes that distinguish services by time. The record should support the analytic approach and the clinical work performed during the encounter. CMS values the service under the Physician Fee Schedule using work, practice-expense, and malpractice components, with practice-expense values varying by setting.

Where the value comes from

  • Work RVU2.40 · 73%
  • Practice expense (office) RVU0.83 · 25%
  • Malpractice RVU0.04 · 1%

4.8K

Medicare services in 2024 · #1889 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.

90845 compared with similar codes

Office rates for Madera, from the same CMS release.

90834

Psychotherapy session

45 minutes, without E/M

$117.70

90834 is individual psychotherapy selected by its time level. Choose 90845 when the service is psychoanalysis, not merely because the session is lengthy.

90847

Family therapy

Patient present, 50 minutes

$112.15

90847 represents family psychotherapy with the patient present. 90845 is individual analytic treatment.

90853

Group psychotherapy

Single-patient group session

$31.36

90853 is group psychotherapy. 90845 is psychoanalysis furnished individually, not a group session.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 90845 is $112.88—$0.25 higher than the $112.63 rate in Madera. Both use the same code, release and participation basis.

90845 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $112.63

  2. Bakersfield

    $112.88

    $0.25 higher than Madera

  3. Chico

    $112.63

    The same base rate than Madera

  4. El Centro

    $112.63

    The same base rate than Madera

  5. Fresno

    $112.63

    The same base rate than Madera

  6. Hanford-Corcoran

    $112.63

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $117.13

    $4.50 higher than Madera

Other payment areas listed in California 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, 90845 ranges from $104.66 in Arkansas to $150.50 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

  • Merced

    California · 90845

    Office

    $112.63

    Facility

    $89.56

    The same base rate than Madera for the office setting.

  • Modesto

    California · 90845

    Office

    $112.63

    Facility

    $89.56

    The same base rate than Madera for the office setting.

  • Napa

    California · 90845

    Office

    $122.43

    Facility

    $94.70

    $9.80 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 90845

    Office

    $116.01

    Facility

    $91.14

    $3.38 higher than Madera for the office setting.

  • Redding

    California · 90845

    Office

    $112.63

    Facility

    $89.56

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 90845

    Office

    $112.63

    Facility

    $89.56

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 90845

    Office

    $113.13

    Facility

    $90.07

    $0.50 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 90845

    Office

    $116.01

    Facility

    $91.53

    $3.38 higher than Madera for the office setting.

  • Salinas

    California · 90845

    Office

    $115.49

    Facility

    $91.11

    $2.86 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 90845

    Office

    $116.45

    Facility

    $91.28

    $3.82 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 90845

    Office

    $127.48

    Facility

    $97.81

    $14.85 higher than Madera for the office setting.

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

    California · 90845

    Office

    $127.43

    Facility

    $97.76

    $14.80 higher than Madera for the office setting.

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

    California · 90845

    Office

    $129.67

    Facility

    $99.33

    $17.04 higher than Madera for the office setting.

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

    California · 90845

    Office

    $129.49

    Facility

    $99.14

    $16.86 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 90845

    Office

    $113.82

    Facility

    $89.85

    $1.19 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 90845

    Office

    $116.24

    Facility

    $90.68

    $3.61 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 90845

    Office

    $115.45

    Facility

    $90.91

    $2.82 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 90845

    Office

    $117.33

    Facility

    $91.49

    $4.70 higher than Madera for the office setting.

  • Stockton

    California · 90845

    Office

    $112.63

    Facility

    $89.56

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 90845

    Office

    $122.36

    Facility

    $94.63

    $9.73 higher than Madera for the office setting.

  • Visalia

    California · 90845

    Office

    $112.63

    Facility

    $89.56

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 90845

    Office

    $112.63

    Facility

    $89.56

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 90845

    Office

    $118.64

    Facility

    $93.85

    $6.01 higher than Madera for the office setting.

  • Miami

    Florida · 90845

    Office

    $112.40

    Facility

    $90.50

    $0.23 lower than Madera for the office setting.

  • Chicago

    Illinois · 90845

    Office

    $111.65

    Facility

    $90.50

    $0.98 lower than Madera for the office setting.

  • Manhattan

    New York · 90845

    Office

    $119.63

    Facility

    $95.17

    $7.00 higher than Madera for the office setting.

  • Alaska*

    Alaska · 90845

    Office

    $150.50

    Facility

    $128.09

    $37.87 higher than Madera for the office setting.

  • Alabama

    Alabama · 90845

    Office

    $105.18

    Facility

    $86.76

    $7.45 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 90845

    Office

    $104.66

    Facility

    $86.59

    $7.97 lower than Madera for the office setting.

  • Arizona

    Arizona · 90845

    Office

    $108.17

    Facility

    $87.78

    $4.46 lower than Madera for the office setting.

  • Colorado

    Colorado · 90845

    Office

    $111.66

    Facility

    $89.28

    $0.97 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 90845

    Office

    $113.24

    Facility

    $90.58

    $0.61 higher than Madera for the office setting.

  • Delaware

    Delaware · 90845

    Office

    $109.15

    Facility

    $88.36

    $3.48 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 90845

    Office

    $110.66

    Facility

    $89.34

    $1.97 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 90845

    Office

    $108.67

    Facility

    $88.56

    $3.96 lower than Madera for the office setting.

  • Atlanta

    Georgia · 90845

    Office

    $110.17

    Facility

    $88.79

    $2.46 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 90845

    Office

    $106.48

    Facility

    $87.71

    $6.15 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 90845

    Office

    $112.46

    Facility

    $88.53

    $0.17 lower than Madera for the office setting.

  • Iowa

    Iowa · 90845

    Office

    $106.06

    Facility

    $86.80

    $6.57 lower than Madera for the office setting.

  • Idaho

    Idaho · 90845

    Office

    $106.30

    Facility

    $86.94

    $6.33 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 90845

    Office

    $108.36

    Facility

    $89.00

    $4.27 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 90845

    Office

    $107.56

    Facility

    $88.35

    $5.07 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 90845

    Office

    $111.56

    Facility

    $89.95

    $1.07 lower than Madera for the office setting.

  • Indiana

    Indiana · 90845

    Office

    $106.51

    Facility

    $87.00

    $6.12 lower than Madera for the office setting.

  • Kansas

    Kansas · 90845

    Office

    $105.90

    Facility

    $86.87

    $6.73 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 90845

    Office

    $106.03

    Facility

    $87.32

    $6.60 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 90845

    Office

    $107.77

    Facility

    $87.97

    $4.86 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 90845

    Office

    $105.98

    Facility

    $87.35

    $6.65 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 90845

    Office

    $117.74

    Facility

    $92.61

    $5.11 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 90845

    Office

    $111.70

    Facility

    $89.54

    $0.93 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 90845

    Office

    $112.84

    Facility

    $90.27

    $0.21 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 90845

    Office

    $110.25

    Facility

    $88.95

    $2.38 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 90845

    Office

    $106.50

    Facility

    $87.14

    $6.13 lower than Madera for the office setting.

  • Southern Maine

    Maine · 90845

    Office

    $108.48

    Facility

    $87.63

    $4.15 lower than Madera for the office setting.

  • Detroit

    Michigan · 90845

    Office

    $109.17

    Facility

    $88.86

    $3.46 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 90845

    Office

    $106.98

    Facility

    $87.77

    $5.65 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 90845

    Office

    $109.08

    Facility

    $87.43

    $3.55 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 90845

    Office

    $107.50

    Facility

    $87.74

    $5.13 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 90845

    Office

    $107.89

    Facility

    $87.86

    $4.74 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 90845

    Office

    $105.36

    Facility

    $87.22

    $7.27 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 90845

    Office

    $105.02

    Facility

    $86.90

    $7.61 lower than Madera for the office setting.

  • Montana**

    Montana · 90845

    Office

    $109.22

    Facility

    $88.18

    $3.41 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 90845

    Office

    $106.88

    Facility

    $87.25

    $5.75 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 90845

    Office

    $108.43

    Facility

    $87.38

    $4.20 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 90845

    Office

    $106.26

    Facility

    $86.83

    $6.37 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 90845

    Office

    $110.19

    Facility

    $88.29

    $2.44 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 90845

    Office

    $118.80

    Facility

    $94.39

    $6.17 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 90845

    Office

    $115.11

    Facility

    $92.13

    $2.48 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 90845

    Office

    $107.19

    Facility

    $87.89

    $5.44 lower than Madera for the office setting.

  • Nevada**

    Nevada · 90845

    Office

    $109.03

    Facility

    $87.96

    $3.60 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 90845

    Office

    $120.74

    Facility

    $95.72

    $8.11 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 90845

    Office

    $115.74

    Facility

    $92.70

    $3.11 higher than Madera for the office setting.

  • Queens

    New York · 90845

    Office

    $119.99

    Facility

    $95.12

    $7.36 higher than Madera for the office setting.

  • Rest Of New York

    New York · 90845

    Office

    $107.44

    Facility

    $87.45

    $5.19 lower than Madera for the office setting.

  • Ohio

    Ohio · 90845

    Office

    $106.82

    Facility

    $87.61

    $5.81 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 90845

    Office

    $105.96

    Facility

    $87.17

    $6.67 lower than Madera for the office setting.

  • Portland

    Oregon · 90845

    Office

    $113.24

    Facility

    $89.86

    $0.61 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 90845

    Office

    $108.71

    Facility

    $87.75

    $3.92 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 90845

    Office

    $112.06

    Facility

    $90.15

    $0.57 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 90845

    Office

    $106.87

    Facility

    $87.56

    $5.76 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 90845

    Office

    $109.51

    Facility

    $88.23

    $3.12 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 90845

    Office

    $111.51

    Facility

    $89.78

    $1.12 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 90845

    Office

    $106.91

    Facility

    $87.47

    $5.72 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 90845

    Office

    $108.33

    Facility

    $87.29

    $4.30 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 90845

    Office

    $106.08

    Facility

    $86.95

    $6.55 lower than Madera for the office setting.

  • Austin

    Texas · 90845

    Office

    $110.84

    Facility

    $88.57

    $1.79 lower than Madera for the office setting.

  • Beaumont

    Texas · 90845

    Office

    $106.63

    Facility

    $87.48

    $6.00 lower than Madera for the office setting.

  • Brazoria

    Texas · 90845

    Office

    $109.32

    Facility

    $88.47

    $3.31 lower than Madera for the office setting.

  • Dallas

    Texas · 90845

    Office

    $109.64

    Facility

    $88.68

    $2.99 lower than Madera for the office setting.

  • Fort Worth

    Texas · 90845

    Office

    $109.38

    Facility

    $88.63

    $3.25 lower than Madera for the office setting.

  • Galveston

    Texas · 90845

    Office

    $109.44

    Facility

    $88.54

    $3.19 lower than Madera for the office setting.

  • Houston

    Texas · 90845

    Office

    $110.17

    Facility

    $89.28

    $2.46 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 90845

    Office

    $107.68

    Facility

    $87.71

    $4.95 lower than Madera for the office setting.

  • Utah

    Utah · 90845

    Office

    $107.42

    Facility

    $87.64

    $5.21 lower than Madera for the office setting.

  • Virginia

    Virginia · 90845

    Office

    $108.36

    Facility

    $87.67

    $4.27 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 90845

    Office

    $109.51

    Facility

    $88.23

    $3.12 lower than Madera for the office setting.

  • Vermont

    Vermont · 90845

    Office

    $108.28

    Facility

    $87.45

    $4.35 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 90845

    Office

    $111.41

    Facility

    $89.26

    $1.22 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 90845

    Office

    $119.28

    Facility

    $93.46

    $6.65 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 90845

    Office

    $107.13

    Facility

    $86.97

    $5.50 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 90845

    Office

    $106.17

    Facility

    $87.88

    $6.46 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 90845

    Office

    $108.87

    Facility

    $87.83

    $3.76 lower than Madera for the office setting.

See how rates vary across the country

90845 · 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.

$104.66

$150.50

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$150.501
AL$105.181
AR$104.661
AZ$108.171
CA$112.63–$129.6729
CO$111.661
CT$113.241
DC$118.641
DE$109.151
FL$108.67–$112.403
GA$106.48–$110.172
GU$112.461
HI$112.461
IA$106.061
ID$106.301
IL$107.56–$111.654
IN$106.511
KS$105.901
KY$106.031
LA$105.98–$107.772
MA$111.70–$117.742
MD$110.25–$118.643
ME$106.50–$108.482
MI$106.98–$109.172
MN$109.081
MO$105.36–$107.893
MS$105.021
MT$109.221
NC$106.881
ND$108.431
NE$106.261
NH$110.191
NJ$115.11–$118.802
NM$107.191
NV$109.031
NY$107.44–$120.745
OH$106.821
OK$105.961
OR$108.71–$113.242
PA$106.87–$112.062
PR$109.511
RI$111.511
SC$106.911
SD$108.331
TN$106.081
TX$106.63–$110.848
UT$107.421
VA$108.36–$118.642
VI$109.511
VT$108.281
WA$111.41–$119.282
WI$107.131
WV$106.171
WY$108.871

Explore 90845 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 90845 in Madera, the physician’s office rate is $112.63 and the facility-setting rate is $89.56: a difference of $23.07.

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 90845 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$123.89

$112.63 × 110% = $123.89

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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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 90845 in Madera.

PPRRVU2026_Oct_nonQPP.csv

11,537

Code
90845
Physician work
2.40
Practice expense
0.83
Malpractice
0.04

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 90845 in Madera
ComponentRVULocality factorAdjusted
Physician work2.40× 1.0172.4408
Practice expense0.83× 1.0960.9097
Malpractice0.04× 0.5360.0214
Total RVUs3.3719
Conversion factor× 33.4009

Office / nonfacility rate, Madera$112.63

Open 90845 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.41.017
Practice expense0.831.096
Malpractice0.040.536

(2.4 × 1.017 + 0.83 × 1.096 + 0.04 × 0.536) × $33.4009 = $112.63

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.41.017
Practice expense0.21.096
Malpractice0.040.536

(2.4 × 1.017 + 0.2 × 1.096 + 0.04 × 0.536) × $33.4009 = $89.56

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

90845 · Office / nonfacility

$112.63

Effective 2026-10-01

The base rate is $11.00 higher than on 2025-10-01, moving from $101.63 to $112.63 (10.8%).

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

    $101.63changed to$112.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.30 changed to 2.40
    • Practice expense RVU 0.71 changed to 0.83
    • Malpractice RVU 0.06 changed to 0.04
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $101.63

    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$112.63$89.56RVU26D
2026-07-01$112.63$89.56RVU26C
2026-04-01$112.63$89.56RVU26B
2026-01-01$112.63$89.56RVU26A
2025-10-01$101.63$88.55RVU25D
2025-07-01$101.63$88.55RVU25C
2025-04-01$101.63$88.55RVU25B
2025-01-01$101.63$88.55RVU25A

90845 billing questions

How is 90845 different from an individual psychotherapy code?

Use 90845 for psychoanalytic treatment focused on analytic exploration, not ordinary individual psychotherapy selected by session time. Codes such as 90834 describe individual psychotherapy at a specified time level.

Does 90845 have a minimum session time?

The code does not specify a session duration. Document the psychoanalytic service and the work performed rather than selecting this code based on elapsed time alone.

Can 90845 be used for a session with family members?

90845 represents individual psychoanalysis. Family psychotherapy without the patient or with the patient is represented by codes such as 90846 or 90847, respectively.

What documentation supports reporting 90845?

Document the patient's clinical need and the analytic treatment provided, including the themes or processes addressed and the clinician's interventions. A note that records only a counseling visit or session length does not establish psychoanalysis.

Should a modifier be added because the service is psychoanalysis?

The service description alone does not establish a need for a modifier. Apply a modifier only when the claim circumstances and applicable billing instructions support it.

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 90845PPRRVU2026_Oct_nonQPP.csv, line 11,537 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet