90836 Psytx w pt w e/m 45 minutes
Also known as: Psychotherapy with E/M 45 minutes, Therapy with medical services 45 min
Psychotherapy with patient for 45 minutes of direct face-to-face therapeutic interaction with concurrent medical evaluation and management services.
In Plain Language
Counseling session with doctor visit; Therapy with medication management
Clinical Context
Provided by psychiatrists for psychotherapy combined with concurrent medical assessment and medication management in 45-minute sessions.
RVU Breakdown
| Work RVU | 2.17 |
| Total RVU | 2.17 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 2.17, this code ranks in the 80th percentile among Medicine codes — 2.8x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 90836?
CPT 90836 (Psytx w pt w e/m 45 minutes) is a Medicine code. Psychotherapy with patient for 45 minutes of direct face-to-face therapeutic interaction with concurrent medical evaluation and management services.
Who uses CPT code 90836?
CPT 90836 is used by Psychiatry, Mental Health. Provided by psychiatrists for psychotherapy combined with concurrent medical assessment and medication management in 45-minute sessions.
When is CPT 90836 used?
Provided by psychiatrists for psychotherapy combined with concurrent medical assessment and medication management in 45-minute sessions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.