90838 Psytx w pt w e/m 60 minutes
Also known as: Psychotherapy with E/M 60 minutes, Therapy with medical services 60 min
Psychotherapy with patient for 60 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 comprehensive psychotherapy combined with medical assessment and medication management in 60-minute sessions.
RVU Breakdown
| Work RVU | 2.86 |
| Total RVU | 2.86 |
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 2.86, this code ranks in the 85th percentile among Medicine codes — 3.7x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 90838?
CPT 90838 (Psytx w pt w e/m 60 minutes) is a Medicine code. Psychotherapy with patient for 60 minutes of direct face-to-face therapeutic interaction with concurrent medical evaluation and management services.
Who uses CPT code 90838?
CPT 90838 is used by Psychiatry, Mental Health. Provided by psychiatrists for comprehensive psychotherapy combined with medical assessment and medication management in 60-minute sessions.
When is CPT 90838 used?
Provided by psychiatrists for comprehensive psychotherapy combined with medical assessment and medication management in 60-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.