CPT 90876
Global XXXPsychophysiological therapy
CPT 90876 Billing & Documentation Guide
CPT code 90876 (Psychophysiological therapy) is classified under Psychiatry with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.9, a non-facility practice expense RVU of 1.17, and a malpractice RVU of 0.12, a total non-facility RVU of 3.19 and facility RVU of 2.43. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $108.97, though rates vary from $99.09 to $139.02 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90876, 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 90876 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Non-covered service
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 0 units of 90876 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 90876
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.9 | 1.9 |
| Practice Expense RVU | 1.17 | 0.41 |
| Malpractice RVU | 0.12 | 0.12 |
| Total RVU | 3.19 | 2.43 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90876
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 | $114.15 | $84.11 | $109.52 - $128.94 | 29 |
| Florida | $110.48 | $85 | $106.85 - $114.28 | 3 |
| Georgia | $105.63 | $81.41 | $103.1 - $108.17 | 2 |
| Illinois | $109.1 | $84.58 | $105.41 - $112.38 | 4 |
| Michigan | $105.8 | $81.96 | $103.67 - $107.93 | 2 |
| North Carolina | $102.48 | $78.8 | $102.48 - $102.48 | 1 |
| New York | $115.51 | $87.2 | $103.4 - $121.43 | 5 |
| Ohio | $103.18 | $80 | $103.18 - $103.18 | 1 |
| Pennsylvania | $106.6 | $81.73 | $103.12 - $110.07 | 2 |
| Texas | $106.01 | $81.02 | $102.75 - $108.49 | 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 90876
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90876 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 |
| 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 |
| 0368T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 90876
What does CPT code 90876 mean? +
CPT code 90876 represents: Psychophysiological therapy. It's in the Psychiatry category with a global period of XXX.
What is the Medicare reimbursement for CPT 90876? +
The 2026 Medicare national average non-facility payment for CPT 90876 is $108.97. Rates range from $99.09 to $139.02 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90876? +
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 90876? +
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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