$163.80
90839 reports the initial crisis psychotherapy service; 90840 reports each additional 30 minutes and must be paired with 90839.
On this page
CMS RVU26D · Effective 2026-10-01
90840 Crisis psychotherapy Medicare reimbursement rates in Rhode Island
Report 90840 for each additional 30 minutes of crisis psychotherapy beyond the initial crisis service, when a patient needs urgent psychiatric intervention. Compare 90840 office and facility rates across CMS payment localities in Rhode Island.
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 90840 in Rhode Island?
Rhode Island 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
$78.81
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$63.63
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Psychotherapy
About 90840: Additional crisis psychotherapy, 30 minutes
Report 90840 for each additional 30 minutes of crisis psychotherapy beyond the initial crisis service, when a patient needs urgent psychiatric intervention.
90840 represents additional time spent providing psychotherapy during an acute psychiatric crisis, such as severe emotional distress or an urgent safety concern. A physician or other qualified health care professional may provide the service in an office, emergency department, or another setting where crisis care is delivered. The intervention addresses the immediate crisis through assessment, therapeutic support, and planning for stabilization or disposition; it is not a routine scheduled psychotherapy session.
Report 90840 only with 90839, which covers the initial crisis service. Use 90840 for each additional 30 minutes after that initial service, following applicable CPT time thresholds. Documentation should identify the crisis, describe the interventions and the patient’s response, and support the total time spent in crisis psychotherapy. CMS treats 90840 as an add-on code billed with its primary procedure and paid within that procedure’s global period.
CMS billing rules for 90840
- 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 · 74%
- Practice expense (office) RVU0.58 · 25%
- Malpractice RVU0.02 · 1%
5.9K
Medicare services in 2024 · #1767 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.
90840 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$170.65
90837 is for a routine 60-minute individual psychotherapy session. Use 90840 only for additional time in crisis psychotherapy reported with 90839.
$116.36
90834 reports a 45-minute individual psychotherapy session, rather than additional crisis-service time beyond the initial service.
Compare 90840 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
Rhode Island →
Office / nonfacility
$78.81
Facility
$63.63
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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 90840 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,536
- Code
- 90840
- Physician work
- 1.71
- Practice expense
- 0.58
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.019 | 1.7425 |
| Practice expense | 0.58 | × 1.033 | 0.5991 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 2.3595 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$78.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1.019 |
| Practice expense | 0.58 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(1.71 × 1.019 + 0.58 × 1.033 + 0.02 × 0.892) × $33.4009 = $78.81
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1.019 |
| Practice expense | 0.14 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(1.71 × 1.019 + 0.14 × 1.033 + 0.02 × 0.892) × $33.4009 = $63.63
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.
90840 billing questions
Can 90840 be billed by itself?
No. Report it only with 90839, the primary code for the initial crisis psychotherapy service.
When should 90840 be added to 90839?
Use 90840 when crisis psychotherapy continues beyond the initial service represented by 90839. Each 90840 unit represents an additional 30 minutes, subject to applicable CPT time thresholds.
What documentation supports an additional unit?
Record the nature of the crisis, the therapeutic interventions, the patient’s response, and the total time spent. The record should support the additional time beyond the 90839 service.
Is 90840 appropriate for a long routine therapy session?
No. It is for additional time in crisis psychotherapy reported with 90839, not simply for extending a scheduled psychotherapy visit.
Can a modifier replace the required 90839 pairing?
No. 90840 must be reported with 90839; a modifier does not make it a stand-alone service.
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.
11,53390837,,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
11,53590839,,Psytx crisis initial 60 min,A,,3.58,1.19,,0.27,,0.03,4.80,3.88,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53690840,,Psytx crisis ea addl 30 min,A,,1.71,0.58,,0.14,,0.02,2.31,1.87,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53790845,,Psychoanalysis,A,,2.40,0.83,,0.20,,0.04,3.27,2.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53890846,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537