FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

90839 in Redding

Office / nonfacility

$165.71

Base rate per service

Facility setting

$132.03

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.

Psychotherapy

About 90839: Psychotherapy for acute mental health crisis

Report this service for intensive psychotherapy addressing an acute mental health crisis that requires immediate assessment, intervention, and disposition planning.

90839 covers an intensive psychotherapy encounter for a patient in an acute mental health crisis, such as severe emotional distress with urgent safety concerns. The clinician assesses the immediate situation, provides crisis-focused therapeutic intervention, and determines an appropriate disposition. Psychiatrists, psychologists, and other Medicare-recognized mental health practitioners may provide the service in settings such as an outpatient behavioral health clinic, office, or emergency department. This is crisis care, not simply a longer routine therapy session.

Select 90839 for the initial 60 minutes of crisis psychotherapy. Document the crisis presentation, assessment, interventions, the patient's response, time, and disposition. For additional crisis service, 90840 is the related add-on code, reported in 30-minute increments. CMS physician fee schedule values include work, practice expense, and malpractice components; the practice-expense values differ between office and facility settings.

Where the value comes from

  • Work RVU3.58 · 75%
  • Practice expense (office) RVU1.19 · 25%
  • Malpractice RVU0.03 · 1%

21.6K

Medicare services in 2024 · #1117 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.

90839 compared with similar codes

Office rates for Redding, from the same CMS release.

90837

Psychotherapy

60 minutes, no E/M

$172.69

Choose 90839 for acute crisis intervention requiring immediate assessment and disposition planning. Choose 90837 for a routine 60-minute individual psychotherapy session.

90840

Crisis psychotherapy

Each additional 30 minutes

$79.68

90839 reports the initial 60 minutes of crisis psychotherapy. 90840 reports each additional 30-minute increment and is used with 90839.

90838

Psychotherapy

With E/M, 60 minutes

$139.93

90838 is psychotherapy reported with a separately furnished E/M service. 90839 represents psychotherapy focused on an acute crisis.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 90839 is $166.02—$0.31 higher than the $165.71 rate in Redding. Both use the same code, release and participation basis.

90839 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $165.71

  2. Bakersfield

    $166.02

    $0.31 higher than Redding

  3. Chico

    $165.71

    The same base rate than Redding

  4. El Centro

    $165.71

    The same base rate than Redding

  5. Fresno

    $165.71

    The same base rate than Redding

  6. Hanford-Corcoran

    $165.71

    The same base rate than Redding

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

    $172.16

    $6.45 higher than Redding

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, 90839 ranges from $154.23 in Arkansas to $222.25 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

  • Madera

    California · 90839

    Office

    $165.71

    Facility

    $132.03

    The same base rate than Redding for the office setting.

  • Merced

    California · 90839

    Office

    $165.71

    Facility

    $132.03

    The same base rate than Redding for the office setting.

  • Modesto

    California · 90839

    Office

    $165.71

    Facility

    $132.03

    The same base rate than Redding for the office setting.

  • Napa

    California · 90839

    Office

    $180.00

    Facility

    $139.50

    $14.29 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 90839

    Office

    $170.53

    Facility

    $134.21

    $4.82 higher than Redding for the office setting.

  • Rest Of California

    California · 90839

    Office

    $165.71

    Facility

    $132.03

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 90839

    Office

    $166.15

    Facility

    $132.47

    $0.44 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 90839

    Office

    $170.64

    Facility

    $134.91

    $4.93 higher than Redding for the office setting.

  • Salinas

    California · 90839

    Office

    $169.89

    Facility

    $134.27

    $4.18 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 90839

    Office

    $171.24

    Facility

    $134.49

    $5.53 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 90839

    Office

    $187.44

    Facility

    $144.11

    $21.73 higher than Redding for the office setting.

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

    California · 90839

    Office

    $187.40

    Facility

    $144.08

    $21.69 higher than Redding for the office setting.

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

    California · 90839

    Office

    $190.58

    Facility

    $146.27

    $24.87 higher than Redding for the office setting.

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

    California · 90839

    Office

    $190.44

    Facility

    $146.13

    $24.73 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 90839

    Office

    $167.42

    Facility

    $132.42

    $1.71 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 90839

    Office

    $170.92

    Facility

    $133.58

    $5.21 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 90839

    Office

    $169.81

    Facility

    $133.98

    $4.10 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 90839

    Office

    $172.51

    Facility

    $134.77

    $6.80 higher than Redding for the office setting.

  • Stockton

    California · 90839

    Office

    $165.71

    Facility

    $132.03

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 90839

    Office

    $179.96

    Facility

    $139.45

    $14.25 higher than Redding for the office setting.

  • Visalia

    California · 90839

    Office

    $165.71

    Facility

    $132.03

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 90839

    Office

    $165.71

    Facility

    $132.03

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 90839

    Office

    $173.97

    Facility

    $137.77

    $8.26 higher than Redding for the office setting.

  • Miami

    Florida · 90839

    Office

    $163.49

    Facility

    $131.50

    $2.22 lower than Redding for the office setting.

  • Chicago

    Illinois · 90839

    Office

    $162.66

    Facility

    $131.78

    $3.05 lower than Redding for the office setting.

  • Manhattan

    New York · 90839

    Office

    $175.00

    Facility

    $139.30

    $9.29 higher than Redding for the office setting.

  • Alaska*

    Alaska · 90839

    Office

    $222.25

    Facility

    $189.52

    $56.54 higher than Redding for the office setting.

  • Alabama

    Alabama · 90839

    Office

    $154.92

    Facility

    $128.03

    $10.79 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 90839

    Office

    $154.23

    Facility

    $127.84

    $11.48 lower than Redding for the office setting.

  • Arizona

    Arizona · 90839

    Office

    $158.95

    Facility

    $129.17

    $6.76 lower than Redding for the office setting.

  • Colorado

    Colorado · 90839

    Office

    $164.08

    Facility

    $131.39

    $1.63 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 90839

    Office

    $165.99

    Facility

    $132.89

    $0.28 higher than Redding for the office setting.

  • Delaware

    Delaware · 90839

    Office

    $160.34

    Facility

    $129.98

    $5.37 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 90839

    Office

    $161.65

    Facility

    $130.52

    $4.06 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 90839

    Office

    $159.08

    Facility

    $129.70

    $6.63 lower than Redding for the office setting.

  • Atlanta

    Georgia · 90839

    Office

    $161.52

    Facility

    $130.30

    $4.19 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 90839

    Office

    $156.22

    Facility

    $128.81

    $9.49 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 90839

    Office

    $165.35

    Facility

    $130.41

    $0.36 lower than Redding for the office setting.

  • Iowa

    Iowa · 90839

    Office

    $156.34

    Facility

    $128.22

    $9.37 lower than Redding for the office setting.

  • Idaho

    Idaho · 90839

    Office

    $156.62

    Facility

    $128.35

    $9.09 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 90839

    Office

    $158.16

    Facility

    $129.89

    $7.55 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 90839

    Office

    $157.43

    Facility

    $129.38

    $8.28 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 90839

    Office

    $163.01

    Facility

    $131.45

    $2.70 lower than Redding for the office setting.

  • Indiana

    Indiana · 90839

    Office

    $156.91

    Facility

    $128.42

    $8.80 lower than Redding for the office setting.

  • Kansas

    Kansas · 90839

    Office

    $156.01

    Facility

    $128.23

    $9.70 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 90839

    Office

    $155.83

    Facility

    $128.51

    $9.88 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 90839

    Office

    $158.12

    Facility

    $129.20

    $7.59 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 90839

    Office

    $155.71

    Facility

    $128.52

    $10.00 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 90839

    Office

    $172.83

    Facility

    $136.14

    $7.12 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 90839

    Office

    $164.14

    Facility

    $131.78

    $1.57 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 90839

    Office

    $165.38

    Facility

    $132.40

    $0.33 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 90839

    Office

    $161.91

    Facility

    $130.82

    $3.80 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 90839

    Office

    $156.77

    Facility

    $128.50

    $8.94 lower than Redding for the office setting.

  • Southern Maine

    Maine · 90839

    Office

    $159.60

    Facility

    $129.14

    $6.11 lower than Redding for the office setting.

  • Detroit

    Michigan · 90839

    Office

    $159.62

    Facility

    $129.97

    $6.09 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 90839

    Office

    $157.00

    Facility

    $128.94

    $8.71 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 90839

    Office

    $160.77

    Facility

    $129.15

    $4.94 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 90839

    Office

    $157.88

    Facility

    $129.02

    $7.83 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 90839

    Office

    $158.42

    Facility

    $129.16

    $7.29 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 90839

    Office

    $154.81

    Facility

    $128.32

    $10.90 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 90839

    Office

    $154.54

    Facility

    $128.08

    $11.17 lower than Redding for the office setting.

  • Montana**

    Montana · 90839

    Office

    $160.32

    Facility

    $129.59

    $5.39 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 90839

    Office

    $157.30

    Facility

    $128.63

    $8.41 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 90839

    Office

    $159.73

    Facility

    $129.00

    $5.98 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 90839

    Office

    $156.64

    Facility

    $128.28

    $9.07 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 90839

    Office

    $161.83

    Facility

    $129.84

    $3.88 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 90839

    Office

    $174.29

    Facility

    $138.64

    $8.58 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 90839

    Office

    $168.86

    Facility

    $135.31

    $3.15 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 90839

    Office

    $157.23

    Facility

    $129.05

    $8.48 lower than Redding for the office setting.

  • Nevada**

    Nevada · 90839

    Office

    $160.20

    Facility

    $129.44

    $5.51 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 90839

    Office

    $176.35

    Facility

    $139.81

    $10.64 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 90839

    Office

    $169.69

    Facility

    $136.04

    $3.98 higher than Redding for the office setting.

  • Queens

    New York · 90839

    Office

    $175.65

    Facility

    $139.33

    $9.94 higher than Redding for the office setting.

  • Rest Of New York

    New York · 90839

    Office

    $158.04

    Facility

    $128.85

    $7.67 lower than Redding for the office setting.

  • Ohio

    Ohio · 90839

    Office

    $156.87

    Facility

    $128.82

    $8.84 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 90839

    Office

    $155.85

    Facility

    $128.41

    $9.86 lower than Redding for the office setting.

  • Portland

    Oregon · 90839

    Office

    $166.39

    Facility

    $132.25

    $0.68 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 90839

    Office

    $159.87

    Facility

    $129.26

    $5.84 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 90839

    Office

    $164.30

    Facility

    $132.31

    $1.41 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 90839

    Office

    $157.01

    Facility

    $128.80

    $8.70 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 90839

    Office

    $160.75

    Facility

    $129.68

    $4.96 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 90839

    Office

    $163.80

    Facility

    $132.06

    $1.91 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 90839

    Office

    $157.15

    Facility

    $128.76

    $8.56 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 90839

    Office

    $159.66

    Facility

    $128.93

    $6.05 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 90839

    Office

    $156.24

    Facility

    $128.31

    $9.47 lower than Redding for the office setting.

  • Austin

    Texas · 90839

    Office

    $162.75

    Facility

    $130.24

    $2.96 lower than Redding for the office setting.

  • Beaumont

    Texas · 90839

    Office

    $156.68

    Facility

    $128.71

    $9.03 lower than Redding for the office setting.

  • Brazoria

    Texas · 90839

    Office

    $160.70

    Facility

    $130.25

    $5.01 lower than Redding for the office setting.

  • Dallas

    Texas · 90839

    Office

    $161.10

    Facility

    $130.49

    $4.61 lower than Redding for the office setting.

  • Fort Worth

    Texas · 90839

    Office

    $160.71

    Facility

    $130.42

    $5.00 lower than Redding for the office setting.

  • Galveston

    Texas · 90839

    Office

    $160.83

    Facility

    $130.32

    $4.88 lower than Redding for the office setting.

  • Houston

    Texas · 90839

    Office

    $161.38

    Facility

    $130.87

    $4.33 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 90839

    Office

    $158.20

    Facility

    $129.04

    $7.51 lower than Redding for the office setting.

  • Utah

    Utah · 90839

    Office

    $157.84

    Facility

    $128.95

    $7.87 lower than Redding for the office setting.

  • Virginia

    Virginia · 90839

    Office

    $159.35

    Facility

    $129.15

    $6.36 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 90839

    Office

    $160.75

    Facility

    $129.68

    $4.96 lower than Redding for the office setting.

  • Vermont

    Vermont · 90839

    Office

    $159.43

    Facility

    $129.01

    $6.28 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 90839

    Office

    $163.75

    Facility

    $131.39

    $1.96 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 90839

    Office

    $175.14

    Facility

    $137.44

    $9.43 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 90839

    Office

    $157.96

    Facility

    $128.52

    $7.75 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 90839

    Office

    $155.55

    Facility

    $128.85

    $10.16 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 90839

    Office

    $160.06

    Facility

    $129.33

    $5.65 lower than Redding for the office setting.

See how rates vary across the country

90839 · 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.

$154.23

$222.25

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$222.251
AL$154.921
AR$154.231
AZ$158.951
CA$165.71–$190.5829
CO$164.081
CT$165.991
DC$173.971
DE$160.341
FL$159.08–$163.493
GA$156.22–$161.522
GU$165.351
HI$165.351
IA$156.341
ID$156.621
IL$157.43–$163.014
IN$156.911
KS$156.011
KY$155.831
LA$155.71–$158.122
MA$164.14–$172.832
MD$161.91–$173.973
ME$156.77–$159.602
MI$157.00–$159.622
MN$160.771
MO$154.81–$158.423
MS$154.541
MT$160.321
NC$157.301
ND$159.731
NE$156.641
NH$161.831
NJ$168.86–$174.292
NM$157.231
NV$160.201
NY$158.04–$176.355
OH$156.871
OK$155.851
OR$159.87–$166.392
PA$157.01–$164.302
PR$160.751
RI$163.801
SC$157.151
SD$159.661
TN$156.241
TX$156.68–$162.758
UT$157.841
VA$159.35–$173.972
VI$160.751
VT$159.431
WA$163.75–$175.142
WI$157.961
WV$155.551
WY$160.061

Explore 90839 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 90839 in Redding, the physician’s office rate is $165.71 and the facility-setting rate is $132.03: a difference of $33.68.

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 90839 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$182.28

$165.71 × 110% = $182.28

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.

Compare your contract offer →

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 90839 in Redding.

PPRRVU2026_Oct_nonQPP.csv

11,535

Code
90839
Physician work
3.58
Practice expense
1.19
Malpractice
0.03

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 90839 in Redding
ComponentRVULocality factorAdjusted
Physician work3.58× 1.0173.6409
Practice expense1.19× 1.0961.3042
Malpractice0.03× 0.5360.0161
Total RVUs4.9612
Conversion factor× 33.4009

Office / nonfacility rate, Redding$165.71

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

Open 90839 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.581.017
Practice expense1.191.096
Malpractice0.030.536

(3.58 × 1.017 + 1.19 × 1.096 + 0.03 × 0.536) × $33.4009 = $165.71

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.581.017
Practice expense0.271.096
Malpractice0.030.536

(3.58 × 1.017 + 0.27 × 1.096 + 0.03 × 0.536) × $33.4009 = $132.03

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

90839 · Office / nonfacility

$165.71

Effective 2026-10-01

The base rate is $13.92 higher than on 2025-10-01, moving from $151.79 to $165.71 (9.2%).

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

    $151.79changed to$165.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.43 changed to 3.58
    • Practice expense RVU 1.06 changed to 1.19
    • Malpractice RVU 0.10 changed to 0.03
    • 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: $151.79

    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$165.71$132.03RVU26D
2026-07-01$165.71$132.03RVU26C
2026-04-01$165.71$132.03RVU26B
2026-01-01$165.71$132.03RVU26A
2025-10-01$151.79$131.99RVU25D
2025-07-01$151.79$131.99RVU25C
2025-04-01$151.79$131.99RVU25B
2025-01-01$151.79$131.99RVU25A

90839 billing questions

How is 90839 different from 90837?

90839 is for psychotherapy addressing an acute crisis that needs immediate assessment and intervention. Use 90837 for a routine individual psychotherapy session, even when it lasts 60 minutes.

Can 90840 be reported with 90839?

Yes. 90840 is the add-on for each additional 30 minutes of crisis psychotherapy beyond the initial service reported with 90839.

What should the note support?

Document the acute crisis, the assessment and crisis-focused interventions, the patient's response, the time spent, and the disposition or plan for immediate follow-up.

Can 90839 be used for an extended therapy appointment?

No. The encounter must involve an acute crisis requiring immediate clinical attention; duration alone does not make a routine therapy session a crisis service.

Which time belongs to 90839 versus 90840?

90839 represents the initial 60 minutes of crisis psychotherapy. Report 90840 for additional 30-minute increments when the documented crisis service continues beyond that initial period.

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 90839PPRRVU2026_Oct_nonQPP.csv, line 11,535 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet