Home / Medicare fees / 90845

90845 Psychoanalysis

What 90845 is

CMS fee schedule short descriptor: Psychoanalysis.

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 90845 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)2.400.830.043.27$109.22
Facility (hospital, ASC)2.400.200.042.64$88.18

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.

Advertisement

Medically Unlikely Edit (MUE)

Medicare caps 90845 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 90845? These codes are bundled into it

90845 is a Column 1 code in 117 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 codeShort descriptionModifier indicator
0362TBhv id suprt assmt ea 15 min0 - no modifier bypassCheck pair
0373TAdapt bhv tx ea 15 min0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
36640Insertion catheter artery1 - modifier may bypassCheck pair
90832Psytx w pt 30 minutes0 - no modifier bypassCheck pair
90833Psytx w pt w e/m 30 min0 - no modifier bypassCheck pair
90836Psytx w pt w e/m 45 min0 - no modifier bypassCheck pair
90846Family psytx w/o pt 50 min1 - modifier may bypassCheck pair
90847Family psytx w/pt 50 min1 - modifier may bypassCheck pair
90865Narcosynthesis0 - no modifier bypassCheck pair
96116Nubhvl xm phys/qhp 1st hr1 - modifier may bypassCheck pair
96127Brief emotional/behav assmt0 - no modifier bypassCheck pair
96156Hlth bhv assmt/reassessment0 - no modifier bypassCheck pair
96158Hlth bhv ivntj indiv 1st 300 - no modifier bypassCheck pair
96159Hlth bhv ivntj indiv ea addl0 - no modifier bypassCheck pair
96164Hlth bhv ivntj grp 1st 300 - no modifier bypassCheck pair
96165Hlth bhv ivntj grp ea addl0 - no modifier bypassCheck pair
96167Hlth bhv ivntj fam 1st 300 - no modifier bypassCheck pair
96168Hlth bhv ivntj fam ea addl0 - no modifier bypassCheck pair
96170Hlth bhv ivntj fam wo pt 1st0 - no modifier bypassCheck pair
96171Hlth bhv ivntj fam w/o pt ea0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair
97151Bhv id assmt by phys/qhp0 - no modifier bypassCheck pair
97152Bhv id suprt assmt by 1 tech0 - no modifier bypassCheck pair
97153Adaptive behavior tx by tech0 - no modifier bypassCheck pair
97154Grp adapt bhv tx by tech0 - no modifier bypassCheck pair
97155Adapt behavior tx phys/qhp0 - no modifier bypassCheck pair
97156Fam adapt bhv tx gdn phy/qhp0 - no modifier bypassCheck pair
97157Mult fam adapt bhv tx gdn0 - no modifier bypassCheck pair

Showing 30 of 117 column 2 codes. Use the pair checker for any specific combination.

90845 is bundled into these codes

90845 appears as a Column 2 code in 34 active edits. Reported with one of these Column 1 codes on the same date of service, 90845 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0591THlth&wb coaching indiv 1st1Check pair
0592THlth&wb coaching indiv f-up1Check pair
0593THlth&wb coaching group1Check pair
0889TPrsnlz trgt dvl arhfcmrigtbs1Check pair
0890TArhfcmrigtbs 1st tx day1Check pair
0891TArhfcmrigtbs sbsq tx day1Check pair
0892TArhfcmrigtbs sbsq per tx day1Check pair
90791Psych diagnostic evaluation0Check pair
90792Psych diag eval w/med srvcs0Check pair
90834Psytx w pt 45 minutes0Check pair
90837Psytx w pt 60 minutes0Check pair
90838Psytx w pt w e/m 60 min0Check pair
90839Psytx crisis initial 60 min0Check pair
90840Psytx crisis ea addl 30 min0Check pair
90849Multiple family group psytx1Check 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.