# CPT 90785: Interactive complexity (add-on)

Medicare CPT 90785 pays $14.70 in a non-facility setting and $11.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.18 in Arkansas to $20.45 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/90785-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Counselor, Marriage & Family Therapist, Psychiatry & Neurology, Psychoanalyst

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $14.70 |
| National facility | $11.69 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $20.45 | $17.24 |
| District of Columbia | $15.95 | $12.40 |
| California | $15.77 | $12.21 |
| New Jersey | $15.73 | $12.34 |
| New York | $15.64 | $12.29 |
| Washington | $15.56 | $12.13 |
| Massachusetts | $15.47 | $12.09 |
| Connecticut | $15.20 | $11.96 |
| Hawaii | $15.20 | $11.78 |
| Colorado | $15.06 | $11.87 |
| Rhode Island | $15.03 | $11.92 |
| Maryland | $15.00 | $11.87 |
| Oregon | $14.98 | $11.82 |
| New Hampshire | $14.85 | $11.72 |
| Minnesota | $14.80 | $11.71 |
| Puerto Rico | $14.74 | $11.70 |
| Virgin Islands | $14.74 | $11.70 |
| Pennsylvania | $14.73 | $11.78 |
| Delaware | $14.71 | $11.74 |
| Florida | $14.71 | $11.69 |
| Montana | $14.70 | $11.69 |
| Nevada | $14.70 | $11.69 |
| North Dakota | $14.70 | $11.69 |
| South Dakota | $14.70 | $11.69 |
| Texas | $14.70 | $11.74 |
| Wyoming | $14.70 | $11.69 |
| Vermont | $14.66 | $11.68 |
| Virginia | $14.63 | $11.68 |
| Illinois | $14.61 | $11.71 |
| Arizona | $14.58 | $11.67 |
| Georgia | $14.55 | $11.68 |
| Wisconsin | $14.54 | $11.66 |
| Maine | $14.53 | $11.66 |
| Michigan | $14.48 | $11.65 |
| Utah | $14.48 | $11.65 |
| North Carolina | $14.45 | $11.65 |
| Indiana | $14.43 | $11.64 |
| South Carolina | $14.42 | $11.64 |
| Nebraska | $14.41 | $11.64 |
| Idaho | $14.40 | $11.64 |
| Missouri | $14.39 | $11.64 |
| New Mexico | $14.39 | $11.63 |
| Iowa | $14.38 | $11.63 |
| Louisiana | $14.38 | $11.63 |
| Ohio | $14.38 | $11.63 |
| Tennessee | $14.36 | $11.63 |
| Kansas | $14.34 | $11.63 |
| Oklahoma | $14.30 | $11.62 |
| Kentucky | $14.29 | $11.62 |
| Alabama | $14.24 | $11.61 |
| West Virginia | $14.22 | $11.60 |
| Mississippi | $14.19 | $11.60 |
| Arkansas | $14.18 | $11.60 |

## Related codes

- 90832: Psychotherapy, 30 minutes with patient — https://www.med-reveal.com/rates/90832-cpt-fee-schedule
- 90833: Psychotherapy, 30 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90833-cpt-fee-schedule
- 90834: Psychotherapy, 45 minutes with patient — https://www.med-reveal.com/rates/90834-cpt-fee-schedule
- 90836: Psychotherapy, 45 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90836-cpt-fee-schedule
- 90837: Psychotherapy, 60 minutes with patient — https://www.med-reveal.com/rates/90837-cpt-fee-schedule
- 90838: Psychotherapy, 60 minutes with patient, add-on to E/M service — https://www.med-reveal.com/rates/90838-cpt-fee-schedule
- 90845: Psychoanalysis — https://www.med-reveal.com/rates/90845-cpt-fee-schedule
- 90880: Hypnotherapy — https://www.med-reveal.com/rates/90880-cpt-fee-schedule

Commercial negotiated rates for 90785 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules