90839 Psytx crisis initial 60 min
What 90839 is
CMS fee schedule short descriptor: Psytx crisis initial 60 min.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 90839 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 3.58 | 1.19 | 0.03 | 4.80 | $160.32 |
| Facility (hospital, ASC) | 3.58 | 0.27 | 0.03 | 3.88 | $129.60 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 90839 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 90839? These codes are bundled into it
90839 is a Column 1 code in 71 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0362T | Bhv id suprt assmt ea 15 min | 0 - no modifier bypass | Check pair |
0373T | Adapt bhv tx ea 15 min | 0 - no modifier bypass | Check pair |
0820T | Mntr psychdlc med 1stphy/qhp | 0 - no modifier bypass | Check pair |
0889T | Prsnlz trgt dvl arhfcmrigtbs | 1 - modifier may bypass | Check pair |
0890T | Arhfcmrigtbs 1st tx day | 1 - modifier may bypass | Check pair |
0891T | Arhfcmrigtbs sbsq tx day | 0 - no modifier bypass | Check pair |
0892T | Arhfcmrigtbs sbsq per tx day | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
36640 | Insertion catheter artery | 1 - modifier may bypass | Check pair |
90785 | Psytx complex interactive | 0 - no modifier bypass | Check pair |
90845 | Psychoanalysis | 0 - no modifier bypass | Check pair |
90846 | Family psytx w/o pt 50 min | 0 - no modifier bypass | Check pair |
90847 | Family psytx w/pt 50 min | 0 - no modifier bypass | Check pair |
90849 | Multiple family group psytx | 0 - no modifier bypass | Check pair |
90853 | Group psychotherapy | 0 - no modifier bypass | Check pair |
90863 | Pharmacologic mgmt w/psytx | 0 - no modifier bypass | Check pair |
90865 | Narcosynthesis | 0 - no modifier bypass | Check pair |
90867 | Tcranial magn stim tx plan | 0 - no modifier bypass | Check pair |
90868 | Tcranial magn stim tx deli | 0 - no modifier bypass | Check pair |
90869 | Tcran magn stim redetemine | 0 - no modifier bypass | Check pair |
90870 | Electroconvulsive therapy | 0 - no modifier bypass | Check pair |
90875 | Psychophysiological therapy | 0 - no modifier bypass | Check pair |
90876 | Psychophysiological therapy | 0 - no modifier bypass | Check pair |
90880 | Hypnotherapy | 0 - no modifier bypass | Check pair |
90882 | Envrn ivntj med mgmt psyc pt | 0 - no modifier bypass | Check pair |
90885 | Psy evaluation of records | 0 - no modifier bypass | Check pair |
90887 | Interpj/explnaj rslt psyc xm | 0 - no modifier bypass | Check pair |
90889 | Preparation of report | 0 - no modifier bypass | Check pair |
96116 | Nubhvl xm phys/qhp 1st hr | 1 - modifier may bypass | Check pair |
Showing 30 of 71 column 2 codes. Use the pair checker for any specific combination.
90839 is bundled into these codes
90839 appears as a Column 2 code in 100 active edits. Reported with one of these Column 1 codes on the same date of service, 90839 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0395T | Hdr elctr ntrst/ntrcv brchtx | 0 | Check pair |
0591T | Hlth&wb coaching indiv 1st | 1 | Check pair |
0592T | Hlth&wb coaching indiv f-up | 1 | Check pair |
0593T | Hlth&wb coaching group | 1 | Check pair |
0944T | 3d cntr simula trgt lvr les | 0 | Check pair |
77261 | Ther radiology tx plng smpl | 0 | Check pair |
77262 | Ther radiology tx plng intrm | 0 | Check pair |
77263 | Ther radiology tx plng cplx | 0 | Check pair |
77280 | Ther rad simulaj field smpl | 0 | Check pair |
77285 | Ther rad simulaj field intrm | 0 | Check pair |
77290 | Ther rad simulaj field cplx | 0 | Check pair |
77293 | Respirator motion mgmt simul | 0 | Check pair |
77295 | 3-d radiotherapy plan | 0 | Check pair |
77300 | Radiation therapy dose plan | 0 | Check pair |
77301 | Radiotherapy dose plan imrt | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.