{
    "code": "90834",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90834/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/90834/2020/A",
    "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 Q1 2020?",
        "text": "Medicare paid $94.55 for CPT 90834 in the office (non-facility) setting and $85.17 in a facility under the Q1 2020 Physician Fee Schedule, effective January 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 3.7% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "A",
        "label": "Q1 2020",
        "effective": "January 1 – March 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 94.55,
        "facility": 85.17,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2,
        "practice_expense_non_facility": 0.54,
        "practice_expense_facility": 0.28,
        "malpractice": 0.08
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q1 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20a-updated-01312020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/A",
        "file": "PPRRVU20_Jan.csv",
        "row": 15658,
        "sha256": "28d2c1e57daa957d1eef39cb96dc0e0f55fd4e6ab886473e117d9b4f43a9875d"
    },
    "modified_at": "2026-08-04T03:09:22+00:00"
}