CPT Code 90834 Mental Health Guide with 2025 Reimbursement Rates

In png show head of mental person for treatment process professional use code CPT Code 90834

In mental health billing, CPT code 90834 is frequently used for psychotherapy sessions typically scheduled for about 45 minutes.
Psychiatrists, psychologists, therapists, and other behavioral health providers need to know how to bill it correctly, including time requirements, documentation, and reimbursement rates, to avoid denials and maximize payments.

What is CPT Code 90834?

According to the AMA CPT manual, CPT 90834 is defined as:

“Psychotherapy, 45 minutes with patient.”

This code applies to individual psychotherapy appointments that run between 38 and 52 minutes, delivered by a licensed or credentialed mental health provider.

CPT 90834 Time Range

While it’s called a 45-minute code, the accepted time range for CPT 90834 is 38–52 minutes of face-to-face psychotherapy.
If your conference is smaller or longer, use the suitable code:

  • CPT 90832 – 30 minutes (16–37 minutes)
  • CPT 90834 – 45 minutes (38–52 minutes)
  • CPT 90837 – 60 minutes (53+ minutes)

CPT 90834 Reimbursement Rates (2025)

Reimbursement rates vary by payer and location.
Medicare national average (2025): Approximately $92–$115 per session.
Private payers: often higher, ranging $100–$150, depending on contracts.

Tip: Always check your specific payer’s fee schedule to confirm your exact rate.

CPT 90834 vs 90832 vs 90833

Code

Description

Time Range

Use Case

90832

Psychotherapy, 30 minutes with the patient

16–37 mins

Short individual therapy

90834

Psychotherapy, 45 minutes with the patient

38–52 mins

Standard therapy session

90833

Add-on code for psychotherapy with E/M service

16–37 mins

When therapy is provided along with medication management

Need Help with Medical Billing?

Fill out the form below and we’ll contact you shortly.

Thank you! Your message has been sent.

Let's Talk

+1 (917) 994-9941

3811 Ditmars Blvd# 1124,

Astoria, NY 11105

CPT 90833 - Add-On Code for Medication Management Sessions

CPT 90833 is used when a provider performs a psychiatric evaluation & medication management (E/M service) and provides psychotherapy in the same session.

  • It essential be billed with an E/M code (e.g., 99213, 99214).
  • Cannot be billed alone.
  • Time range: 16–37 minutes psychotherapy component.

Documentation Requirements for CPT 90834

To bill CPT 90834, your documentation should include:

  • Start and stop times of the session.
  • Therapeutic interventions used (e.g., CBT, DBT).
  • Patient’s symptoms, progress, and goals.
  • Mental status exam findings.
  • Plan for ongoing treatment.

Best Practices to Avoid CPT 90834 Denials

  • Document exact start and stop times to justify the time range.
  • Use payer-preferred modifiers if needed (e.g., 95 for telehealth).
  • Link to the correct ICD-10 diagnosis (e.g., F32.1 for major depressive disorder, mild).
  • Ensure psychotherapy is the main service, not just a supportive conversation.
  • Trained to staff of medical billing on E/M + psychotherapy add-on code rules.

Avoid Common Mistakes

  • Incorrect Duration: Always match session length to the right code.
  • Inadequate Documentation: Keep comprehensive treatment records.
  • Outdated Practices: Follow current CPT updates to maintain compliance

Final Thoughts

CPT 90834 is the code for usual 45-minute psychotherapy conferences. Correctly using the time range (38–52 minutes), linking the right diagnosis codes, and documenting medical necessity will help you get paid faster and reduce denials.

By understanding the difference between 90832, 90833, and 90834 and following payer-specific rules, you can keep your mental health billing clean and compliant in 2025.

Frequently Asked Questions (FAQs)

CPT 90834 covers the 38–52 minutes of individual psychotherapy.

Yes, if the payer allows it and you use modifier 95 for telehealth.

Medicare national average is about $92–$115; private payers may reimburse $100–$150+.

Costs vary based on location, provider, and insurance, but here’s a general range:

  • Private Pay: $100–$200 per session
  • Insurance Copay: Usually $15–$50, depending on your plan
  • Sliding Scale Clinics: May offer reduced rates

When I was uninsured, I paid $90/session out-of-pocket. Later, with insurance, my copay was just $25. The financial piece can feel overwhelming—but help is out there.

Yes, most private insurance plans, Medicaid, and Medicare cover 90834 sessions—especially when paired with a valid mental health diagnosis code (like F41.1 for generalized anxiety or F33.1 for major depression).

Tip: Make sure your provider is in-network, and check if preauthorization is needed. I learned this the hard way after an OON session I had to pay for entirely out-of-pocket.

This code can be used for many therapeutic styles, including:

  • Cognitive Behavioral Therapy (CBT)
  • Trauma therapy (EMDR, somatic work)
  • Psychodynamic or insight-based therapy
  • Grief counseling, stress management, relationship work

My therapist used a mix of CBT and mindfulness. Even though we talked about some pretty dark times, 45 minutes always felt like a safe space—a place to breathe and be heard.

Couples therapy sessions are billed under CPT codes 90847 or 90846, rather than CPT 90834.

F32.0–F33.9 (depressive disorders), F41.1 (generalized anxiety disorder), F43.1 (PTSD).

Discover Cures Medical Billing Services Across Different States

Your Success Is Our Success

We are a team of national medical billing service experts based in Astoria, NY, committed to providing ongoing value to our customers. We leverage technology and implement best practices to provide high-quality and cost-efficient medical billing solutions from domestic locations, enabling customers to achieve their business goals. Cures Medical Billing is the best option for any medical billing needs.

Medical billing around Astoria, NY, and beyond is our core competency and our specialists will efficiently manage all your billing needs. Our medical billing specialists have over 12 Plus years of experience with all security technologies to ensure data integrity for our customers. Using our medical billing service, anyone can make their medical billing task less resource-consuming.

Start free 30 Days Trial Now

Contact Our RCM

© 2024 Created Cures Medical Billing Solutions, All copyrights Reserved 

Wait! Don't Leave Yet

Want a free consultation or pricing guide? Send the info or call now for billing information.

📞 Call Now

We respect your privacy. No spam ever.

×
Icon

Get a FREE Medical Billing Audit

×

Book A Free Medical Billing Audit