# CPT 90849: Multiple-family group psychotherapy

Medicare CPT 90849 pays $40.42 in a non-facility setting and $30.06 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $37.64 in Arkansas to $52.43 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/90849-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Methadone Clinic, Psychiatry & Neurology, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $40.42 |
| National facility | $30.06 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $52.43 | $41.41 |
| District of Columbia | $44.79 | $32.59 |
| California | $44.09 | $31.84 |
| New Jersey | $43.81 | $32.16 |
| New York | $43.72 | $32.17 |
| Washington | $43.41 | $31.60 |
| Massachusetts | $43.10 | $31.47 |
| Hawaii | $42.51 | $30.74 |
| Connecticut | $42.34 | $31.19 |
| Colorado | $41.65 | $30.63 |
| Maryland | $41.50 | $30.70 |
| Oregon | $41.34 | $30.43 |
| Rhode Island | $41.34 | $30.65 |
| Florida | $41.11 | $30.72 |
| New Hampshire | $41.04 | $30.26 |
| Puerto Rico | $40.60 | $30.13 |
| Virgin Islands | $40.60 | $30.13 |
| Illinois | $40.52 | $30.51 |
| Minnesota | $40.45 | $29.79 |
| Montana | $40.41 | $30.06 |
| Nevada | $40.32 | $29.96 |
| Pennsylvania | $40.31 | $30.17 |
| Delaware | $40.25 | $30.02 |
| Wyoming | $40.24 | $29.89 |
| Texas | $40.22 | $30.03 |
| North Dakota | $40.02 | $29.66 |
| South Dakota | $39.97 | $29.62 |
| Virginia | $39.92 | $29.75 |
| Vermont | $39.91 | $29.66 |
| Arizona | $39.78 | $29.75 |
| Georgia | $39.78 | $29.90 |
| Michigan | $39.63 | $29.91 |
| Maine | $39.39 | $29.50 |
| Utah | $39.30 | $29.57 |
| Wisconsin | $39.22 | $29.30 |
| New Mexico | $39.11 | $29.61 |
| North Carolina | $39.01 | $29.35 |
| South Carolina | $38.99 | $29.43 |
| Missouri | $38.97 | $29.48 |
| Louisiana | $38.94 | $29.49 |
| Ohio | $38.91 | $29.46 |
| Indiana | $38.80 | $29.21 |
| Idaho | $38.67 | $29.15 |
| Nebraska | $38.66 | $29.11 |
| Iowa | $38.54 | $29.06 |
| Tennessee | $38.53 | $29.11 |
| Kentucky | $38.43 | $29.23 |
| West Virginia | $38.43 | $29.43 |
| Kansas | $38.42 | $29.06 |
| Oklahoma | $38.41 | $29.16 |
| Alabama | $37.95 | $28.89 |
| Mississippi | $37.83 | $28.91 |
| Arkansas | $37.64 | $28.75 |

## Related codes

- 90846: Family psychotherapy, without patient present — https://www.med-reveal.com/rates/90846-cpt-fee-schedule
- 90847: Family psychotherapy, with patient present — https://www.med-reveal.com/rates/90847-cpt-fee-schedule
- T1006: Alcohol/substance abuse services, family/couple counseling — https://www.med-reveal.com/rates/T1006-hcpcs-fee-schedule

Commercial negotiated rates for 90849 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