Reimbursement Rates For Psychotherapy
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FAQ
CPT Code 90837 Reimbursement Rates Depending on your credentials, we've found that 90837 can pay between $9-20 more on average than a 90834 appointment. This amounts to typically ~13-20% more per session. Medicare has published their 60 minute individual therapy reimbursement rates.
For instance, the reimbursement rate for the CPT code 90834 is $98.39, covering individual psychotherapy sessions lasting approximately 45 minutes, while CPT code 90837, representing longer sessions of around 60 minutes, has a rate of $144.83.
The main concern when billing Medicare with 90901 is that reimbursement is quite low. The allowance is between $40-50 per session, regardless of the length of the session. The reimbursement for 90911 is typically higher.
The main concern when billing Medicare with 90901 is that reimbursement is quite low. The allowance is between $40-50 per session, regardless of the length of the session. The reimbursement for 90911 is typically higher.
EXHIBIT 1 CPT codeDescriptionMedian90836Add-on code for individual psychotherapy, 45 minutes71.569083760-minute individual psychotherapy session110.8690838Add-on code for individual psychotherapy, 60 minutes95.4190847Family psychotherapy (with patient present)87.9317 more rows ?