$172.21
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.
On this page
CMS RVU26D · Effective 2026-10-01
90834 Psychotherapy session Medicare reimbursement rates in Hawaii
Report this individual psychotherapy service for 38 to 52 minutes with the patient when the clinician does not perform E/M with the psychotherapy. Compare 90834 office and facility rates across CMS payment localities in Hawaii.
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.
What does Medicare pay for 90834 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$117.41
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$92.35
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Hawaii, from the same CMS release.
$105.93
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.
$88.54
90832 covers 16 to 37 minutes of psychotherapy. Use 90834 when documented psychotherapy time reaches 38 through 52 minutes.
$111.10
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.
Compare 90834 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$117.41
Facility
$92.35
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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 Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
11,531
- Code
- 90834
- Physician work
- 2.56
- Practice expense
- 0.83
- Malpractice
- 0.02
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.56 | × 1.000 | 2.5600 |
| Practice expense | 0.83 | × 1.137 | 0.9437 |
| Malpractice | 0.02 | × 0.579 | 0.0116 |
| Total RVUs | 3.5153 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$117.41
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 0.83 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(2.56 × 1 + 0.83 × 1.137 + 0.02 × 0.579) × $33.4009 = $117.41
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 0.17 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(2.56 × 1 + 0.17 × 1.137 + 0.02 × 0.579) × $33.4009 = $92.35
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.
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.
11,52890792,,Psych diag eval w/med srvcs,A,,4.16,1.72,,0.44,,0.17,6.05,4.77,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,52990832,,Psytx w pt 30 minutes,A,,1.94,0.62,,0.13,,0.01,2.57,2.08,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53090833,,Psytx w pt w e/m 30 min,A,,1.71,0.66,,0.19,,0.07,2.44,1.97,0,ZZZ,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53190834,,Psytx w pt 45 minutes,A,,2.56,0.83,,0.17,,0.02,3.41,2.75,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53290836,,Psytx w pt w e/m 45 min,A,,2.17,0.84,,0.24,,0.08,3.09,2.49,0,ZZZ,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53390837,,Psytx w pt 60 minutes,A,,3.78,1.20,,0.25,,0.02,5.00,4.05,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53490838,,Psytx w pt w e/m 60 min,A,,2.86,1.11,,0.32,,0.12,4.09,3.30,0,ZZZ,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014