CPT 90834
Global XXX ActivePsytx w pt 45 minutes
CPT 90834 Billing & Documentation Guide
CPT code 90834 (Psytx w pt 45 minutes) is classified under Psychiatry with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.56, a non-facility practice expense RVU of 0.83, and a malpractice RVU of 0.02, a total non-facility RVU of 3.41 and facility RVU of 2.75. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $116.76, though rates vary from $109.66 to $158.15 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90834, 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 90834 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 90834 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 90834
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.56 | 2.56 |
| Practice Expense RVU | 0.83 | 0.17 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 3.41 | 2.75 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90834
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 | $121.73 | $95.65 | $117.7 - $135.25 | 29 |
| Florida | $114.62 | $92.51 | $113.01 - $116.06 | 3 |
| Georgia | $112.88 | $91.85 | $111.03 - $114.73 | 2 |
| Illinois | $113.87 | $92.57 | $111.86 - $115.76 | 4 |
| Michigan | $112.48 | $91.78 | $111.57 - $113.39 | 2 |
| North Carolina | $111.8 | $91.23 | $111.8 - $111.8 | 1 |
| New York | $121.39 | $96.8 | $112.31 - $125.18 | 5 |
| Ohio | $111.49 | $91.36 | $111.49 - $111.49 | 1 |
| Pennsylvania | $114.15 | $92.55 | $111.59 - $116.7 | 2 |
| Texas | $113.89 | $92.19 | $111.35 - $115.6 | 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 90834
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90834 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 90834
What does CPT code 90834 mean? +
CPT code 90834 represents: Psytx w pt 45 minutes. It's in the Psychiatry category with a global period of XXX.
What is the Medicare reimbursement for CPT 90834? +
The 2026 Medicare national average non-facility payment for CPT 90834 is $116.76. Rates range from $109.66 to $158.15 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90834? +
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 90834? +
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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