CPT 90849
Global XXX ActiveMultiple family group psytx
CPT 90849 Billing & Documentation Guide
CPT code 90849 (Multiple family group psytx) is classified under Psychiatry with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.67, a non-facility practice expense RVU of 0.52, and a malpractice RVU of 0.02, a total non-facility RVU of 1.21 and facility RVU of 0.9. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $41.53, though rates vary from $37.64 to $52.43 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90849, 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 90849 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 90849 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 90849
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.67 | 0.67 |
| Practice Expense RVU | 0.52 | 0.21 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 1.21 | 0.9 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90849
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 | $44.09 | $31.84 | $42.15 - $50.24 | 29 |
| Florida | $41.11 | $30.72 | $39.99 - $42.15 | 3 |
| Georgia | $39.78 | $29.9 | $38.67 - $40.89 | 2 |
| Illinois | $40.52 | $30.51 | $39.28 - $41.56 | 4 |
| Michigan | $39.63 | $29.91 | $38.99 - $40.27 | 2 |
| North Carolina | $39.01 | $29.35 | $39.01 - $39.01 | 1 |
| New York | $43.72 | $32.17 | $39.35 - $45.7 | 5 |
| Ohio | $38.91 | $29.46 | $38.91 - $38.91 | 1 |
| Pennsylvania | $40.31 | $30.17 | $38.95 - $41.66 | 2 |
| Texas | $40.22 | $30.03 | $38.8 - $41.39 | 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 90849
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90849 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 |
| 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 |
Frequently Asked Questions, CPT 90849
What does CPT code 90849 mean? +
CPT code 90849 represents: Multiple family group psytx. It's in the Psychiatry category with a global period of XXX.
What is the Medicare reimbursement for CPT 90849? +
The 2026 Medicare national average non-facility payment for CPT 90849 is $41.53. Rates range from $37.64 to $52.43 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90849? +
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 90849? +
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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