$38.77–$40.01
Use 90849 when the group psychotherapy is for multiple families. Use 90853 for group psychotherapy that is not a multiple-family group.
On this page
CMS RVU26D · Effective 2026-10-01
90853 Group psychotherapy Medicare reimbursement rates in Maine
Report group psychotherapy when a clinician provides therapeutic treatment to a patient as part of a group, rather than in an individual or family session. Compare 90853 office and facility rates across CMS payment localities in Maine.
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 90853 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$29.65–$30.20
2 of 2 localities have a supported rate.
Facility setting
$24.12–$24.24
2 of 2 localities have a supported rate.
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.
Behavioral health
About 90853: Group psychotherapy session
Report group psychotherapy when a clinician provides therapeutic treatment to a patient as part of a group, rather than in an individual or family session.
A clinician leads a therapeutic session in which multiple patients work on behavioral health concerns through guided discussion, therapeutic exercises, and interaction with the group. Psychiatrists, psychologists, and other qualified mental health professionals may provide the service in settings such as an outpatient office or hospital outpatient department. The group session is distinct from a meeting limited to multiple families receiving treatment together.
Report 90853 for each patient receiving group treatment, supported by that patient’s record—not once for the group as a whole. Documentation should identify the group service, its therapeutic focus and interventions, and the patient’s attendance, participation, response, and connection to the treatment plan. Select this code for group psychotherapy, not for an individual psychotherapy session or family psychotherapy. CMS assigns work, practice-expense, and malpractice relative values; the practice-expense values differ between office and facility settings.
Where the value comes from
- Work RVU0.67 · 74%
- Practice expense (office) RVU0.23 · 25%
- Malpractice RVU0.01 · 1%
398.5K
Medicare services in 2024 · #259 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.
90853 compared with similar codes
Office rates for Maine, from the same CMS release.
$84.06–$85.53
90832 represents individual psychotherapy; 90853 represents psychotherapy delivered to a patient as part of a group.
$108.23–$109.19
90847 is family psychotherapy with the patient present. 90853 is group psychotherapy, not a family session.
Compare 90853 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$29.65
Facility
$24.12
Southern Maine →
Office / nonfacility
$30.20
Facility
$24.24
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90853 billing questions
How is 90853 different from individual psychotherapy?
90853 describes treatment delivered in a group setting. Use an individual psychotherapy code when the clinician treats the patient individually rather than as part of a group.
Is 90853 billed once for the group or for each patient?
Report the service for each patient who receives group treatment. Each patient’s own record must support attendance, participation, and medical necessity.
Does 90853 cover multiple-family group therapy?
No. Multiple-family group psychotherapy is represented by 90849; 90853 is for group psychotherapy that is not a multiple-family group.
What should the record include for 90853?
Document the group’s therapeutic focus and interventions, the patient’s attendance and participation, the patient’s response, and how the service relates to the treatment plan.
Does group size require a modifier?
Group size is not specified by 90853. Record the patient’s attendance and participation in the clinical note.
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.
11,53890846,,Family psytx w/o pt 50 min,R,,2.74,0.40,,0.20,,0.03,3.17,2.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53990847,,Family psytx w/pt 50 min,A,,2.86,0.40,,0.20,,0.02,3.28,3.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54090849,,Multiple family group psytx,A,,0.67,0.52,,0.21,,0.02,1.21,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54190853,,Group psychotherapy,A,,0.67,0.23,,0.05,,0.01,0.91,0.73,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54290863,,Pharmacologic mgmt w/psytx,I,+,0.48,0.27,,0.11,,0.03,0.78,0.62,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54390865,,Narcosynthesis,A,,2.84,2.14,,0.46,,0.13,5.11,3.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54490867,,Tcranial magn stim tx plan,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00