CPT 90785
Global ZZZ ActivePsytx complex interactive
CPT 90785 Billing & Documentation Guide
CPT code 90785 (Psytx complex interactive) is classified under Psychiatry with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.33, a non-facility practice expense RVU of 0.11, and a malpractice RVU of 0, a total non-facility RVU of 0.44 and facility RVU of 0.35. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $15.08, though rates vary from $14.18 to $20.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90785, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 90785 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 90785 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 90785
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.33 | 0.33 |
| Practice Expense RVU | 0.11 | 0.02 |
| Malpractice RVU | 0 | 0 |
| Total RVU | 0.44 | 0.35 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90785
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $15.77 | $12.21 | $15.24 - $17.53 | 29 |
| Florida | $14.71 | $11.69 | $14.53 - $14.85 | 3 |
| Georgia | $14.55 | $11.68 | $14.3 - $14.79 | 2 |
| Illinois | $14.61 | $11.71 | $14.38 - $14.87 | 4 |
| Michigan | $14.48 | $11.65 | $14.38 - $14.57 | 2 |
| North Carolina | $14.45 | $11.65 | $14.45 - $14.45 | 1 |
| New York | $15.64 | $12.29 | $14.51 - $16.1 | 5 |
| Ohio | $14.38 | $11.63 | $14.38 - $14.38 | 1 |
| Pennsylvania | $14.73 | $11.78 | $14.4 - $15.05 | 2 |
| Texas | $14.7 | $11.74 | $14.37 - $14.93 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 90785
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90785 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0359T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0360T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0361T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0362T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0362T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0363T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0364T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0365T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0366T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0367T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 90785
What does CPT code 90785 mean? +
CPT code 90785 represents: Psytx complex interactive. It's in the Psychiatry category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 90785? +
The 2026 Medicare national average non-facility payment for CPT 90785 is $15.08. Rates range from $14.18 to $20.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90785? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 90785? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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