Billing code 90880: HypnotherapyMedicare rate & RVUs in Illinois
Hypnotherapy uses therapeutic hypnosis to address a patient's clinical concern and is reported when hypnotic intervention, rather than standard verbal psychotherapy, is delivered.
Medicare pays $101.64–$105.72 for 90880 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. 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 90880 covers
In hypnotherapy, a clinician uses focused attention, guided imagery, and therapeutic suggestion as the treatment method for a clinical concern. It may be used in behavioral health care and in treatment involving concerns such as anxiety, pain, or habits. The service is typically furnished in an office by a qualified clinician working with the patient individually; the defining feature is the hypnotic intervention, not simply relaxation or supportive conversation.
Select 90880 based on the treatment actually provided, rather than the length of a visit or the diagnosis alone. Documentation should identify the clinical target, the hypnotic techniques used, the patient's participation or response, and the plan for continued care. CMS assigns physician-work, practice-expense, and malpractice values to the service in the fee schedule. Describe hypnotherapy distinctly from psychotherapy delivered through verbal therapeutic methods or from interventions that incorporate biofeedback.
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 90880 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$101.64 to $105.72
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $105.40 | $80.90 |
| East St. Louis | $102.15 | $79.72 |
| Rest Of Illinois | $101.64 | $79.38 |
| Suburban Chicago | $105.72 | $80.68 |
How the 90880 rate is calculated
Each of 90880’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 · 90880
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.19Practice expense 0.90Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 90880
90880 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 · 90880
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$103.88
The facility rate would be $79.49 (+$24.39). In a facility, the facility bills its own costs separately.
90880 compared with similar codes
Compare codes
90880 vs 90834 vs 90837 vs 90875 vs 90876: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 90834Psychotherapy session
- Use 90880 for therapeutic hypnosis. Use 90834 for individual psychotherapy delivered through other methods and selected under its time-based criteria.
- 90837Psychotherapy
- 90837 is a time-based individual psychotherapy service. It is not the choice for a session in which hypnosis is the treatment method.
- 90875Psychophysiological therapy
- 90875 describes psychophysiological therapy involving psychotherapy and biofeedback training. Choose 90880 when the intervention is hypnotherapy.
- 90876Psychophysiological therapy
- 90876 is a longer psychophysiological therapy service involving biofeedback. 90880 identifies treatment using hypnosis instead.
90880 billing questions
When should 90880 be chosen instead of an individual psychotherapy code?
Choose 90880 when therapeutic hypnosis is the intervention delivered. Use an individual psychotherapy code when the service is psychotherapy through other therapeutic methods, selected according to its applicable criteria.
Is 90880 selected by session length?
The service is distinguished by hypnotherapy, not a time level. Document the hypnosis intervention rather than using visit length alone to support code selection.
What should the note include?
Document the clinical concern addressed, the hypnotic techniques used, the patient's response, and the treatment plan.
How does 90880 differ from psychophysiological therapy?
90880 represents treatment using hypnosis. Psychophysiological therapy codes describe a different service involving psychotherapy with biofeedback training.
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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