CPT 90845
Global XXX ActivePsychoanalysis
CPT 90845 Billing & Documentation Guide
CPT code 90845 (Psychoanalysis) is classified under Psychiatry with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.4, a non-facility practice expense RVU of 0.83, and a malpractice RVU of 0.04, a total non-facility RVU of 3.27 and facility RVU of 2.64. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $111.88, though rates vary from $104.66 to $150.5 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90845, 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 90845 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 1 units of 90845 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 90845
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.4 | 2.4 |
| Practice Expense RVU | 0.83 | 0.2 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 3.27 | 2.64 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90845
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 | $116.56 | $91.66 | $112.63 - $129.67 | 29 |
| Florida | $110.58 | $89.47 | $108.67 - $112.4 | 3 |
| Georgia | $108.33 | $88.25 | $106.48 - $110.17 | 2 |
| Illinois | $109.78 | $89.45 | $107.56 - $111.65 | 4 |
| Michigan | $108.08 | $88.32 | $106.98 - $109.17 | 2 |
| North Carolina | $106.88 | $87.25 | $106.88 - $106.88 | 1 |
| New York | $116.71 | $93.23 | $107.44 - $120.74 | 5 |
| Ohio | $106.82 | $87.61 | $106.82 - $106.82 | 1 |
| Pennsylvania | $109.47 | $88.86 | $106.87 - $112.06 | 2 |
| Texas | $109.14 | $88.42 | $106.63 - $110.84 | 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 90845
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90845 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0115T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0116T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
Frequently Asked Questions, CPT 90845
What does CPT code 90845 mean? +
CPT code 90845 represents: Psychoanalysis. It's in the Psychiatry category with a global period of XXX.
What is the Medicare reimbursement for CPT 90845? +
The 2026 Medicare national average non-facility payment for CPT 90845 is $111.88. Rates range from $104.66 to $150.5 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90845? +
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 90845? +
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 June 1, 2026.
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