CPT 90833
Global ZZZ ActivePsytx w pt w e/m 30 min
CPT 90833 Billing & Documentation Guide
CPT code 90833 (Psytx w pt w e/m 30 min) is classified under Psychiatry with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.71, a non-facility practice expense RVU of 0.66, and a malpractice RVU of 0.07, a total non-facility RVU of 2.44 and facility RVU of 1.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $83.29, though rates vary from $77.26 to $110.44 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90833, 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 90833 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 2 units of 90833 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 90833
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.71 | 1.71 |
| Practice Expense RVU | 0.66 | 0.19 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 2.44 | 1.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90833
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 | $86.51 | $67.94 | $83.5 - $96.44 | 29 |
| Florida | $83.78 | $68.03 | $81.7 - $85.98 | 3 |
| Georgia | $81.03 | $66.05 | $79.57 - $82.49 | 2 |
| Illinois | $83.09 | $67.92 | $80.9 - $85.04 | 4 |
| Michigan | $81.1 | $66.37 | $79.88 - $82.33 | 2 |
| North Carolina | $79.18 | $64.53 | $79.18 - $79.18 | 1 |
| New York | $87.59 | $70.08 | $79.7 - $91.32 | 5 |
| Ohio | $79.6 | $65.27 | $79.6 - $79.6 | 1 |
| Pennsylvania | $81.72 | $66.35 | $79.56 - $83.88 | 2 |
| Texas | $81.3 | $65.85 | $79.35 - $82.68 | 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 90833
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90833 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 90833
What does CPT code 90833 mean? +
CPT code 90833 represents: Psytx w pt w e/m 30 min. It's in the Psychiatry category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 90833? +
The 2026 Medicare national average non-facility payment for CPT 90833 is $83.29. Rates range from $77.26 to $110.44 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90833? +
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 90833? +
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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