{
    "code": "90834",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90834/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/90834/2016/C",
    "description": "An individual psychotherapy session of roughly 45 minutes with the patient, the middle of the three timed psychotherapy lengths. It is the most commonly billed outpatient therapy session, and the note should document the time spent and the therapeutic techniques used.",
    "answer": {
        "question": "How much did Medicare pay for CPT 90834 in Q3 2016?",
        "text": "Medicare paid $85.21 for CPT 90834 in the office (non-facility) setting and $84.86 in a facility under the Q3 2016 Physician Fee Schedule, effective July 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it increased 0.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "C",
        "label": "Q3 2016",
        "effective": "July 1 – September 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 85.21,
        "facility": 84.86,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2,
        "practice_expense_non_facility": 0.31,
        "practice_expense_facility": 0.3,
        "malpractice": 0.07
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q3 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/C",
        "file": "PPRRVU16_V0517.csv",
        "row": 14803,
        "sha256": "81464316ee60bdd4aa33b47a636b521a77a73481c795300cbab67f48dbe432d9"
    },
    "modified_at": "2026-08-04T03:06:56+00:00"
}