{
    "code": "90836",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90836/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/90836/2021/D",
    "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 Q4 2021?",
        "text": "Medicare paid $90.02 for CPT 90836 in the office (non-facility) setting and $80.25 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 2.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 90.02,
        "facility": 80.25,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.9,
        "practice_expense_non_facility": 0.62,
        "practice_expense_facility": 0.34,
        "malpractice": 0.06
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 15848,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}