# CPT 90840: Psychotherapy for crisis, each additional 30 minutes (add-on)

Medicare CPT 90840 pays $77.16 in a non-facility setting and $62.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $74.10 in Arkansas to $106.67 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/90840-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 | $77.16 |
| National facility | $62.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $106.67 | $91.02 |
| District of Columbia | $83.76 | $66.45 |
| New Jersey | $82.60 | $66.04 |
| California | $82.45 | $65.06 |
| New York | $82.34 | $65.95 |
| Washington | $81.53 | $64.77 |
| Massachusetts | $81.07 | $64.57 |
| Connecticut | $79.93 | $64.10 |
| Hawaii | $79.53 | $62.82 |
| Colorado | $78.94 | $63.30 |
| Rhode Island | $78.81 | $63.63 |
| Maryland | $78.77 | $63.45 |
| Oregon | $78.47 | $62.98 |
| New Hampshire | $77.87 | $62.57 |
| Florida | $77.85 | $63.11 |
| Puerto Rico | $77.36 | $62.50 |
| Virgin Islands | $77.36 | $62.50 |
| Pennsylvania | $77.32 | $62.93 |
| Illinois | $77.31 | $63.11 |
| Minnesota | $77.25 | $62.13 |
| Montana | $77.15 | $62.46 |
| Delaware | $77.14 | $62.62 |
| Texas | $77.12 | $62.66 |
| Nevada | $77.06 | $62.35 |
| Wyoming | $76.98 | $62.29 |
| North Dakota | $76.76 | $62.06 |
| South Dakota | $76.71 | $62.02 |
| Vermont | $76.63 | $62.08 |
| Virginia | $76.63 | $62.18 |
| Georgia | $76.48 | $62.46 |
| Arizona | $76.46 | $62.22 |
| Michigan | $76.25 | $62.45 |
| Maine | $76.04 | $62.00 |
| Utah | $75.93 | $62.11 |
| Wisconsin | $75.88 | $61.80 |
| New Mexico | $75.68 | $62.21 |
| North Carolina | $75.62 | $61.91 |
| South Carolina | $75.58 | $62.00 |
| Missouri | $75.55 | $62.07 |
| Louisiana | $75.50 | $62.08 |
| Ohio | $75.48 | $62.06 |
| Indiana | $75.40 | $61.77 |
| Idaho | $75.25 | $61.73 |
| Nebraska | $75.25 | $61.68 |
| Iowa | $75.11 | $61.66 |
| Tennessee | $75.08 | $61.72 |
| Kansas | $74.96 | $61.68 |
| Kentucky | $74.95 | $61.88 |
| Oklahoma | $74.93 | $61.81 |
| West Virginia | $74.91 | $62.14 |
| Alabama | $74.44 | $61.59 |
| Mississippi | $74.29 | $61.64 |
| Arkansas | $74.10 | $61.48 |

## Related codes

- 90839: Psychotherapy for crisis, first 60 minutes — https://www.med-reveal.com/rates/90839-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 90840 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