{
    "code": "90836",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90836/2015/A",
    "release_specific_url": "https://localishealth.com/cpt/90836/2015/C",
    "description": "Talk therapy provided in the same appointment as a medical evaluation, with the therapy portion lasting roughly 45 minutes. The clinician documents the medical work, such as symptom review and medication decisions, and the therapy time separately, since only the therapy minutes count toward this code. It sits between the shorter band of about 30 minutes and the longest band of about an hour. Like the others in the family, it is reported together with a visit code rather than by itself.",
    "answer": {
        "question": "How much did Medicare pay for CPT 90836 in Q3 2015?",
        "text": "Medicare paid $83.31 for CPT 90836 in the office (non-facility) setting and $82.95 in a facility under the Q3 2015 Physician Fee Schedule, effective July 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2015, when it decreased 0.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "C",
        "label": "Q3 2015",
        "effective": "July 1 – September 30, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 83.31,
        "facility": 82.95,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.9,
        "practice_expense_non_facility": 0.36,
        "practice_expense_facility": 0.35,
        "malpractice": 0.07
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.7547,
    "source": {
        "label": "Physician relative value file (Q3 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/C",
        "file": "PPRRVU15_UP0.V0515.csv",
        "row": 14594,
        "sha256": "f1b114a70a3e0897273d46b1bfe0eca991d563f8c35c7a652e9f0c8472b2862a"
    },
    "modified_at": "2026-08-04T03:06:00+00:00"
}