Billing code 90845: PsychoanalysisMedicare rate & RVUs in Florida
Report psychoanalysis for individual analytic treatment focused on unconscious processes and recurring patterns, rather than conventional time-based psychotherapy.
Medicare pays $108.67–$112.40 for 90845 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 90845 covers
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.
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.
Where 90845 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$108.67 to $112.40
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $110.66 | $89.34 |
| Miami | $112.40 | $90.50 |
| Rest Of Florida | $108.67 | $88.56 |
How the 90845 rate is calculated
Each of 90845’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 · 90845
RVUs × geographic indexes × conversion factor
Work2.40
2.40 RVUs× 1.000 GPCI
Practice expense0.83
0.83 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
3.2700
Conversion factor
$33.4009
Medicare rate
$109.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 90845
90845 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 · 90845
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$109.22
- Non-facility (office)
- $109.22
- Facility
- $88.18
Higher because the practice carries its own overhead.
90845 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 90834Psychotherapy session
- 90834 is individual psychotherapy selected by its time level. Choose 90845 when the service is psychoanalysis, not merely because the session is lengthy.
- 90847Family therapy
- 90847 represents family psychotherapy with the patient present. 90845 is individual analytic treatment.
- 90853Group psychotherapy
- 90853 is group psychotherapy. 90845 is psychoanalysis furnished individually, not a group session.
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 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
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