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CPT 90840 — Psytx crisis ea addl 30 min

CPT code 90840 (Psytx crisis ea addl 30 min) carries 1.71 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 2.31 in a non-facility setting and 1.87 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $77.16 and $62.46 respectively.

1.71
Work RVU
2.31
Total RVU (non-facility)
$77.16
Medicare, non-facility
$62.46
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 90840

ComponentRVUsWhat it covers
Work RVU1.71Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)0.58Office overhead, staff, supplies.
Practice expense RVU (facility)0.14Overhead when performed in a hospital.
Malpractice RVU0.02Professional liability cost.
Total RVU (non-facility)2.31Work + non-facility PE + malpractice.
Total RVU (facility)1.87Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 90840 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility2.31$33.40$77.16
Facility1.87$33.40$62.46

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 90840

Global period
Add-on code — global period is bundled with the primary procedure.
Multiple procedure reduction
No multiple-procedure payment reduction applies.
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted unless documentation supports medical necessity.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

90832 · 1.94 wRVU90833 · 1.71 wRVU90834 · 2.56 wRVU90836 · 2.17 wRVU90837 · 3.78 wRVU90838 · 2.86 wRVU90839 · 3.58 wRVU

Questions about CPT 90840

How many work RVUs is CPT 90840?

CPT 90840 is assigned 1.71 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 90840?

At the 2026 national conversion factor of $33.40, CPT 90840 pays approximately $77.16 in a non-facility setting and $62.46 in a facility setting before geographic adjustment.

What is the global period for CPT 90840?

Add-on code — global period is bundled with the primary procedure.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.