$87.91–$92.48
90832 is standalone psychotherapy without an E/M by the same clinician and can be billed by therapists and psychologists. 90833 requires an E/M by the same clinician and cannot be billed alone.
On this page
CMS RVU26D · Effective 2026-10-01
90833 Psychotherapy with E/M Medicare reimbursement rates in Massachusetts
Add-on for about 30 minutes of individual psychotherapy delivered in the same encounter as a separately documented E/M service, typically during psychiatric medication management visits. Compare 90833 office and facility rates across CMS payment localities in Massachusetts.
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 90833 in Massachusetts?
Massachusetts 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
$83.11–$87.86
2 of 2 localities have a supported rate.
Facility setting
$66.58–$69.12
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.
Psychiatry
About 90833: Add-on psychotherapy with E/M, 30 minutes
Add-on for about 30 minutes of individual psychotherapy delivered in the same encounter as a separately documented E/M service, typically during psychiatric medication management visits.
This add-on captures individual psychotherapy that a prescribing clinician provides during the same visit as an evaluation and management service. The typical scenario is a psychiatrist, psychiatric nurse practitioner, or physician assistant who reviews symptoms, side effects, and medications, then spends dedicated time on supportive, cognitive behavioral, or other therapeutic techniques with the patient. It is reported in offices, outpatient clinics, hospitals, nursing facilities, and telehealth settings. Clinicians who cannot bill E/M services, such as psychologists and clinical social workers, use the standalone psychotherapy codes instead.
This level requires 16 to 37 minutes of psychotherapy. Psychotherapy time must be documented separately from E/M time and excluded from any E/M time used to select its level; the E/M may instead be selected by medical decision making. The note should show the therapeutic approach, the patient's response, and the start and stop time or total psychotherapy minutes. As an add-on, 90833 is reported with a primary E/M service and paid within that service's global period.
CMS billing rules for 90833
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.71 · 70%
- Practice expense (office) RVU0.66 · 27%
- Malpractice RVU0.07 · 3%
1.5M
Medicare services in 2024 · #103 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.
90833 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$105.31–$111.33
Both are psychotherapy add-ons to E/M; 90833 covers 16 to 37 minutes of psychotherapy, while 90836 covers 38 to 52 minutes.
90863
No office ratePharmacologic mgmt w/psytx
90863 is a pharmacologic management add-on for prescribers who cannot report E/M, paired with standalone psychotherapy. For 16 to 37 psychotherapy minutes with a separately performed E/M, report the E/M with 90833 instead.
$164.14–$172.83
90839 is crisis psychotherapy for urgent situations, at least 30 minutes, and is not combined with 90833 or other psychotherapy codes for the same session.
Compare 90833 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
Metropolitan Boston →
Office / nonfacility
$87.86
Facility
$69.12
Rest Of Massachusetts →
Office / nonfacility
$83.11
Facility
$66.58
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90833 billing questions
How do I choose between 90833, 90836, and 90838?
Select by psychotherapy minutes only, excluding E/M time: 16 to 37 minutes reports 90833, 38 to 52 minutes reports 90836, and 53 minutes or more reports 90838. Under 16 minutes, psychotherapy is not separately reported.
Can E/M time and psychotherapy time be combined to pick the E/M level?
No. Psychotherapy minutes cannot count toward an E/M level selected by time. Select the E/M by medical decision making or qualifying E/M time, and document the two services separately.
Can a psychologist or LCSW bill 90833?
No. The code requires a companion E/M service, which these clinicians cannot report. They bill 90832, 90834, or 90837 for individual psychotherapy.
Which primary codes can 90833 be reported with?
It pairs with E/M services such as office and outpatient visits (99202-99205, 99212-99215), hospital inpatient and observation visits, and nursing facility visits. It is not paired with crisis psychotherapy codes 90839 or 90840.
Can interactive complexity be added?
Yes. When factors such as a caregiver's disruptive communication complicate the psychotherapy, 90785 may be reported with 90833. The E/M service alone does not support adding 90785.
Does 90833 need a modifier like 25 on the E/M?
The E/M does not require modifier 25 solely because it is reported with 90833. Document the distinct E/M work and psychotherapy time.
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.
11,52790791,,Psych diagnostic evaluation,A,,3.84,1.33,,0.25,,0.02,5.19,4.11,0,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,52890792,,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