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90863 Pharmacologic management with psytx

Medicine

Also known as: Medication management with therapy, Psychopharmacology, Combined medication and therapy

Pharmacologic management of psychiatric illness with concurrent psychotherapy, medication review and adjustment combined with psychotherapeutic interaction.

In Plain Language

Medicine management with counseling; Psychiatric medication and therapy

Clinical Context

Psychiatric treatment combining medication monitoring and adjustment with psychotherapeutic intervention for optimal management of psychiatric disorders.

RVU Breakdown

Work RVU0.48
Total RVU0.48

Est. Medicare Payment

$16.03

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 0.48, this code ranks in the 31st percentile among Medicine codes — 1.6x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

PsychiatryPsychopharmacologyMental Health

Frequently Asked Questions

What is CPT code 90863?

CPT 90863 (Pharmacologic management with psytx) is a Medicine code. Pharmacologic management of psychiatric illness with concurrent psychotherapy, medication review and adjustment combined with psychotherapeutic interaction.

Who uses CPT code 90863?

CPT 90863 is used by Psychiatry, Psychopharmacology, Mental Health. Psychiatric treatment combining medication monitoring and adjustment with psychotherapeutic intervention for optimal management of psychiatric disorders.

When is CPT 90863 used?

Psychiatric treatment combining medication monitoring and adjustment with psychotherapeutic intervention for optimal management of psychiatric disorders.

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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.