CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 90846 RVU and Medicare Payment (2026)
Family psytx w/o pt 50 min — 2.74 work RVU, about $105.88 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 2.74
- PE RVU (non-facility)
- 0.4
- PE RVU (facility)
- 0.2
- MP RVU
- 0.03
- Office payment
- $105.88
- Facility payment
- $99.2
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 90846 in a non-facility setting with national GPCI: (2.74 + 0.4 + 0.03) × $33.4009 ≈ $105.88. The same code in a facility setting pays about $99.2 because facility PE RVU (0.2) replaces office PE RVU.
What changes by locality
GPCI moves 90846 non-facility payment from $103.51 to $152.06 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 90846?
2.74. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 90846 in 2026?
About $105.88 non-facility ($99.2 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (2.74) and malpractice RVU stay fixed; only practice expense changes (0.4 office vs 0.2 facility). That is the entire office-vs-facility payment gap.