# CPT 90839: Psychotherapy for crisis, first 60 minutes

Medicare CPT 90839 pays $160.32 in a non-facility setting and $129.60 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $154.23 in Arkansas to $222.25 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/90839-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Emergency Medicine, Marriage & Family Therapist, Psychiatry & Neurology, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $160.32 |
| National facility | $129.60 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $222.25 | $189.52 |
| District of Columbia | $173.97 | $137.77 |
| New Jersey | $171.58 | $136.98 |
| California | $171.44 | $135.07 |
| New York | $170.95 | $136.67 |
| Washington | $169.45 | $134.42 |
| Massachusetts | $168.49 | $133.96 |
| Connecticut | $165.99 | $132.89 |
| Hawaii | $165.35 | $130.41 |
| Colorado | $164.08 | $131.39 |
| Rhode Island | $163.80 | $132.06 |
| Maryland | $163.64 | $131.61 |
| Oregon | $163.13 | $130.76 |
| New Hampshire | $161.83 | $129.84 |
| Florida | $161.41 | $130.57 |
| Minnesota | $160.77 | $129.15 |
| Puerto Rico | $160.75 | $129.68 |
| Virgin Islands | $160.75 | $129.68 |
| Pennsylvania | $160.66 | $130.56 |
| Delaware | $160.34 | $129.98 |
| Illinois | $160.32 | $130.63 |
| Montana | $160.32 | $129.59 |
| Texas | $160.29 | $130.04 |
| Nevada | $160.20 | $129.44 |
| Wyoming | $160.06 | $129.33 |
| North Dakota | $159.73 | $129.00 |
| South Dakota | $159.66 | $128.93 |
| Vermont | $159.43 | $129.01 |
| Virginia | $159.35 | $129.15 |
| Arizona | $158.95 | $129.17 |
| Georgia | $158.87 | $129.56 |
| Michigan | $158.31 | $129.45 |
| Maine | $158.19 | $128.82 |
| Wisconsin | $157.96 | $128.52 |
| Utah | $157.84 | $128.95 |
| North Carolina | $157.30 | $128.63 |
| New Mexico | $157.23 | $129.05 |
| South Carolina | $157.15 | $128.76 |
| Missouri | $157.04 | $128.83 |
| Louisiana | $156.92 | $128.86 |
| Indiana | $156.91 | $128.42 |
| Ohio | $156.87 | $128.82 |
| Nebraska | $156.64 | $128.28 |
| Idaho | $156.62 | $128.35 |
| Iowa | $156.34 | $128.22 |
| Tennessee | $156.24 | $128.31 |
| Kansas | $156.01 | $128.23 |
| Oklahoma | $155.85 | $128.41 |
| Kentucky | $155.83 | $128.51 |
| West Virginia | $155.55 | $128.85 |
| Alabama | $154.92 | $128.03 |
| Mississippi | $154.54 | $128.08 |
| Arkansas | $154.23 | $127.84 |

## Related codes

- 90840: Psychotherapy for crisis, each additional 30 minutes (add-on) — https://www.med-reveal.com/rates/90840-cpt-fee-schedule
- H2011: Crisis intervention service, per 15 minutes — https://www.med-reveal.com/rates/H2011-hcpcs-fee-schedule
- S9484: Crisis intervention mental health services, per hour — https://www.med-reveal.com/rates/S9484-hcpcs-fee-schedule
- S9485: Crisis intervention mental health services, per diem — https://www.med-reveal.com/rates/S9485-hcpcs-fee-schedule

Commercial negotiated rates for 90839 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