$112.17
90834 is individual psychotherapy selected by its time level. Choose 90845 when the service is psychoanalysis, not merely because the session is lengthy.
On this page
CMS RVU26D · Effective 2026-10-01
90845 Psychoanalysis Medicare reimbursement rates in Utah
Report psychoanalysis for individual analytic treatment focused on unconscious processes and recurring patterns, rather than conventional time-based psychotherapy. Compare 90845 office and facility rates across CMS payment localities in Utah.
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 90845 in Utah?
Utah 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
$107.42
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$87.64
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Behavioral health
About 90845: Individual psychoanalytic treatment
Report psychoanalysis for individual analytic treatment focused on unconscious processes and recurring patterns, rather than conventional time-based psychotherapy.
Psychoanalysis is an individual treatment that explores unconscious conflicts, recurring relationship patterns, and the meaning of thoughts and feelings. The clinician may use free association and examine patterns such as transference as they emerge in treatment. Psychiatrists and psychologists commonly provide this service in outpatient settings; other enrolled mental health clinicians may provide it when permitted by their scope of practice.
Select 90845 when the documented service is psychoanalytic treatment, not simply because an individual mental health session occurred. The code has no duration qualifier, unlike individual psychotherapy codes that distinguish services by time. The record should support the analytic approach and the clinical work performed during the encounter. CMS values the service under the Physician Fee Schedule using work, practice-expense, and malpractice components, with practice-expense values varying by setting.
Where the value comes from
- Work RVU2.40 · 73%
- Practice expense (office) RVU0.83 · 25%
- Malpractice RVU0.04 · 1%
4.8K
Medicare services in 2024 · #1889 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.
90845 compared with similar codes
Office rates for Utah, from the same CMS release.
$108.69
90847 represents family psychotherapy with the patient present. 90845 is individual analytic treatment.
$29.90
90853 is group psychotherapy. 90845 is psychoanalysis furnished individually, not a group session.
Compare 90845 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
Utah →
Office / nonfacility
$107.42
Facility
$87.64
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 90845 in Utah.
PPRRVU2026_Oct_nonQPP.csv
11,537
- Code
- 90845
- Physician work
- 2.40
- Practice expense
- 0.83
- Malpractice
- 0.04
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.40 | × 1.000 | 2.4000 |
| Practice expense | 0.83 | × 0.940 | 0.7802 |
| Malpractice | 0.04 | × 0.898 | 0.0359 |
| Total RVUs | 3.2161 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$107.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.4 | 1 |
| Practice expense | 0.83 | 0.94 |
| Malpractice | 0.04 | 0.898 |
(2.4 × 1 + 0.83 × 0.94 + 0.04 × 0.898) × $33.4009 = $107.42
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.4 | 1 |
| Practice expense | 0.2 | 0.94 |
| Malpractice | 0.04 | 0.898 |
(2.4 × 1 + 0.2 × 0.94 + 0.04 × 0.898) × $33.4009 = $87.64
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.
90845 billing questions
How is 90845 different from an individual psychotherapy code?
Use 90845 for psychoanalytic treatment focused on analytic exploration, not ordinary individual psychotherapy selected by session time. Codes such as 90834 describe individual psychotherapy at a specified time level.
Does 90845 have a minimum session time?
The code does not specify a session duration. Document the psychoanalytic service and the work performed rather than selecting this code based on elapsed time alone.
Can 90845 be used for a session with family members?
90845 represents individual psychoanalysis. Family psychotherapy without the patient or with the patient is represented by codes such as 90846 or 90847, respectively.
What documentation supports reporting 90845?
Document the patient's clinical need and the analytic treatment provided, including the themes or processes addressed and the clinician's interventions. A note that records only a counseling visit or session length does not establish psychoanalysis.
Should a modifier be added because the service is psychoanalysis?
The service description alone does not establish a need for a modifier. Apply a modifier only when the claim circumstances and applicable billing instructions support it.
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.
11,53490838,,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
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985