CPT 90837
Global XXX ActivePsytx w pt 60 minutes
CPT 90837 Billing & Documentation Guide
CPT code 90837 (Psytx w pt 60 minutes) is classified under Psychiatry with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.78, a non-facility practice expense RVU of 1.2, and a malpractice RVU of 0.02, a total non-facility RVU of 5 and facility RVU of 4.05. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $171.24, though rates vary from $161.03 to $232.44 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90837, 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 90837 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 90837 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 90837
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.78 | 3.78 |
| Practice Expense RVU | 1.2 | 0.25 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 5 | 4.05 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90837
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 | $178.57 | $141.02 | $172.69 - $198.3 | 29 |
| Florida | $167.77 | $135.93 | $165.58 - $169.67 | 3 |
| Georgia | $165.48 | $135.21 | $162.8 - $168.16 | 2 |
| Illinois | $166.7 | $136.04 | $163.89 - $169.49 | 4 |
| Michigan | $164.83 | $135.04 | $163.6 - $166.06 | 2 |
| North Carolina | $164.08 | $134.47 | $164.08 - $164.08 | 1 |
| New York | $177.86 | $142.46 | $164.8 - $183.23 | 5 |
| Ohio | $163.52 | $134.55 | $163.52 - $163.52 | 1 |
| Pennsylvania | $167.37 | $136.29 | $163.68 - $171.05 | 2 |
| Texas | $167.03 | $135.79 | $163.35 - $169.51 | 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 90837
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90837 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 90837
What does CPT code 90837 mean? +
CPT code 90837 represents: Psytx w pt 60 minutes. It's in the Psychiatry category with a global period of XXX.
What is the Medicare reimbursement for CPT 90837? +
The 2026 Medicare national average non-facility payment for CPT 90837 is $171.24. Rates range from $161.03 to $232.44 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90837? +
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 90837? +
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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