`90885` Psy evaluation of records

What 90885 is

CMS fee schedule short descriptor: Psy evaluation of records.

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 90885 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	0.97	0.42	0.06	1.45	$48.43
Facility (hospital, ASC)	0.97	0.22	0.06	1.25	$41.75

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.

Adjust for a Medicare locality:

Status: Bundled - payment is always bundled into another service. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps 90885 at 0 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 90885? These codes are bundled into it

90885 is a Column 1 code in 17 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
`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
`96168`	Hlth bhv ivntj fam ea addl	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

90885 is bundled into these codes

90885 appears as a Column 2 code in 9 active edits. Reported with one of these Column 1 codes on the same date of service, 90885 is the code that denies.

Column 1 code	Short description
`90791`	Psych diagnostic evaluation	Check pair
`90792`	Psych diag eval w/med srvcs	Check pair
`90839`	Psytx crisis initial 60 min	Check pair
`90840`	Psytx crisis ea addl 30 min	Check pair
`96156`	Hlth bhv assmt/reassessment	Check pair
`96158`	Hlth bhv ivntj indiv 1st 30	Check pair
`96167`	Hlth bhv ivntj fam 1st 30	Check pair
`96170`	Hlth bhv ivntj fam wo pt 1st	Check pair
`97158`	Grp adapt bhv tx by phy/qhp	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.