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 RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 2.40 | 0.83 | 0.04 | 3.27 | $109.22 |
| Facility (hospital, ASC) | 2.40 | 0.20 | 0.04 | 2.64 | $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.
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 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 |
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 |
90832 | Psytx w pt 30 minutes | 0 - no modifier bypass | Check pair |
90833 | Psytx w pt w e/m 30 min | 0 - no modifier bypass | Check pair |
90836 | Psytx w pt w e/m 45 min | 0 - no modifier bypass | Check pair |
90846 | Family psytx w/o pt 50 min | 1 - modifier may bypass | Check pair |
90847 | Family psytx w/pt 50 min | 1 - modifier may bypass | Check pair |
90865 | Narcosynthesis | 0 - no modifier bypass | Check pair |
96116 | Nubhvl xm phys/qhp 1st hr | 1 - modifier may bypass | Check pair |
96127 | Brief emotional/behav assmt | 0 - no modifier bypass | Check pair |
96156 | Hlth bhv assmt/reassessment | 0 - no modifier bypass | Check pair |
96158 | Hlth bhv ivntj indiv 1st 30 | 0 - no modifier bypass | Check pair |
96159 | Hlth bhv ivntj indiv ea addl | 0 - no modifier bypass | Check pair |
96164 | Hlth bhv ivntj grp 1st 30 | 0 - no modifier bypass | Check pair |
96165 | Hlth bhv ivntj grp ea addl | 0 - no modifier bypass | Check pair |
96167 | Hlth bhv ivntj fam 1st 30 | 0 - no modifier bypass | Check pair |
96168 | Hlth bhv ivntj fam ea addl | 0 - no modifier bypass | Check pair |
96170 | Hlth bhv ivntj fam wo pt 1st | 0 - no modifier bypass | Check pair |
96171 | Hlth bhv ivntj fam w/o pt ea | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97151 | Bhv id assmt by phys/qhp | 0 - no modifier bypass | Check pair |
97152 | Bhv id suprt assmt by 1 tech | 0 - no modifier bypass | Check pair |
97153 | Adaptive behavior tx by tech | 0 - no modifier bypass | Check pair |
97154 | Grp adapt bhv tx by tech | 0 - no modifier bypass | Check pair |
97155 | Adapt behavior tx phys/qhp | 0 - no modifier bypass | Check pair |
97156 | Fam adapt bhv tx gdn phy/qhp | 0 - no modifier bypass | Check pair |
97157 | Mult fam adapt bhv tx gdn | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
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 |
0889T | Prsnlz trgt dvl arhfcmrigtbs | 1 | Check pair |
0890T | Arhfcmrigtbs 1st tx day | 1 | Check pair |
0891T | Arhfcmrigtbs sbsq tx day | 1 | Check pair |
0892T | Arhfcmrigtbs sbsq per tx day | 1 | Check pair |
90791 | Psych diagnostic evaluation | 0 | Check pair |
90792 | Psych diag eval w/med srvcs | 0 | Check pair |
90834 | Psytx w pt 45 minutes | 0 | Check pair |
90837 | Psytx w pt 60 minutes | 0 | Check pair |
90838 | Psytx w pt w e/m 60 min | 0 | Check pair |
90839 | Psytx crisis initial 60 min | 0 | Check pair |
90840 | Psytx crisis ea addl 30 min | 0 | Check pair |
90849 | Multiple family group psytx | 1 | 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.