CPTCodeCalculator
BehavioralBase2026 Compliant

CPT 90832

2026 Billing Guide

Psychotherapy 30 min

Reimbursement

$85.84

Threshold

30m

2026 Status

Active

What is CPT Code 90832?

CPT 90832 is defined as: Psychotherapy, 30 minutes with patient when performed as a standalone service. This code is utilized when psychotherapy is the primary or sole service provided during the encounter, without medical evaluation and management (E/M) services.

This code is primarily used for Behavioral services. It falls under the category of Psychotherapy & Behavioral Assessments and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

1.94

Physician Effort

PE (Non-Fac)

0.54

Practice Expense

Malpractice

0.09

Risk Factor

Total RVU

2.57

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

efficiency shield

Exempt from the -2.5% efficiency adjustment due to its time-intensive, labor-centric nature.

uplift transition

Benefits from the multi-year programmed upward trajectory of Work RVUs for cognitive labor.

telehealth permanence

Permanently valid for remote delivery in 2026; POS 10 triggers non-facility rates.

site neutrality

Indirect cost allocation adjusted to reduce facility/non-facility disparity.

Administrative Framework

Global Period

000

Place of Service

11 (Office)12 (Home)10 (Telehealth Provided in Patient's Home)

NCCI Exclusions

Do not bill with:908339083490837

Key Modifiers

93Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System.
95Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System.

Operational Requirements

minimum time

16 minutes (Range: 16-37 minutes)

staff type

LCSW, LPC, Psychologist (PhD/PsyD), or Psychiatrist (MD/DO)

frequency

Typically once per day per patient

add on codes

time rule

Governed by the CPT 'midpoint rule'. A unit of time is attained when the midpoint (15 min) is passed.

Compliance Checklist

Separate Start/Stop times (e.g., 10:15 AM - 10:45 AM)
Documentation of active therapeutic intervention (e.g., CBT, EMDR)
The 'Golden Thread': Linkage between Diagnosis, Treatment Plan, and Progress Note
Segmented time documentation if other services (like E/M) are provided by other clinicians

Audit Defense

No specific audit defense elements defined.

2026 Update

Medical necessity must be clearly documented to justify the increased 2026 Work RVU valuation.

Common Clinical Scenarios

Maintenance Therapy for patients in remission
Crisis intervention or booster sessions
Step-down care from 60-minute sessions

CMS Eligibility: Must have a diagnosed mental health condition (ICD-10 F-series). Variable, based on treatment plan goals

Target Specialties & Utilization

PsychiatryPsychologySocial WorkCounseling

Typical Clinical Indications (ICD-10)

F33.1 (Major depressive disorder, recurrent, moderate)F41.1 (Generalized anxiety disorder)F43.10 (Post-traumatic stress disorder, unspecified)

Billing Differentiation

VS 90833

90833 is an add-on code used when E/M is also provided; 90832 is for standalone therapy.

VS 90834

90834 is for 45 minutes of psychotherapy (Range: 38-52 minutes).

VS 90837

90837 is for 60 minutes of psychotherapy (Range: 53+ minutes).

Frequently Asked Questions

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