2025-Medicare-Psych-Fee-Utah - Updated CPT Fee Schedule

Sep 21, 2026

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2025 Utah Medicare-Loc CPT fee schedule for behavioral health services, listing diagnostic and psychotherapy codes with corresponding allowed amounts and reimbursement percentages. The table breaks out initial diagnostic assessment (CPT 90791) and therapy services across multiple session durations and settings, including crisis psychotherapy, add-on time, psychoanalysis, and family and group psychotherapy codes (90832, 90834, 90837, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90880). It also provides psychological testing and administrative scoring rates for multiple CPT test codes (96130-96137, 96105, 96116, 96121, 96132, 96133).

LanguageEnglish

CategoryHealthcare

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Reading Time3 min

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CPT Codes

Diagnostic Assessment

Therapy

Testing

| CPT Codes | | | 2025 Utah Medicare-Loc 09 | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | | Initial Diagnostic Assessment | | 2024 | Allow PSYD | Reimb 80% | Allow LCSW | Reimb 80% | | | 90791 | Init Diag Int | $166.36 | $164.04 | $131.23 | $123.03 | $98.42 | | | (Facility Setting) 90791 | Init Diag Int | $143.75 | $141.70 | $113.36 | $106.28 | $85.02 | | | Therapy | | | | | | | | | 90832 | 30 | $75.69 | $77.66 | $62.13 | $58.25 | $46.60 | | | (Facility Setting) 90832 | 30 | $66.53 | $68.31 | $54.65 | $51.23 | $40.99 | | | 90834 | 45 | $99.86 | $102.48 | $81.98 | $76.86 | $61.49 | | | (Facility Setting)90834 | 45 | $87.94 | $90.11 | $72.09 | $67.58 | $54.07 | | | 90837 | 60 | $147.22 | $151.81 | $121.45 | $113.86 | $91.09 | | | (Facility Setting) 90837 | 60 | $129.81 | $133.41 | $106.73 | $100.06 | $80.05 | | | 90839 | Psychotherapy for crises first 60 min | $141.61 | $145.95 | $116.76 | $109.46 | $87.57 | | | (Facility Setting) 90839 | Psychotherapy for crises first 60 min | $125.42 | $129.05 | $103.24 | $96.79 | $77.43 | | | 90840 | Add on for each additonal 30 min | $70.04 | $71.45 | $57.16 | $53.59 | $42.87 | | | (Facility Setting) 90840 | Add on for each additonal 30 min | $62.70 | $63.91 | $51.13 | $47.93 | $38.35 | | | 90845 | Psychoanalysis | $94.64 | $97.63 | $78.10 | $73.22 | $58.58 | | | (Facility Setting) 90845 | Psychoanalysis | $84.25 | $86.46 | $69.17 | $64.85 | $51.88 | | | 90846 | Family-w/o pt | $95.01 | $97.74 | $78.19 | $73.31 | $58.64 | | | (Facility Setting) 90846 | Family-w/o pt | $94.71 | $97.44 | $77.95 | $73.08 | $58.46 | | | 90847 | Family-with pt | $99.53 | $101.90 | $81.52 | $76.43 | $61.14 | | | (Facility Setting) 90847 | Family-with pt | $98.92 | $101.60 | $81.28 | $76.20 | $60.96 | | | 90849 | Group family | $35.88 | $36.41 | $29.13 | $27.31 | $21.85 | | | (Facility Setting) 90849 | Group family | $28.24 | $28.87 | $23.10 | $21.65 | $17.32 | | | 90853 | Group Therapy | $26.72 | $27.66 | $22.13 | $20.75 | $16.60 | | | (Facility Setting) 90853 | Group Therapy | $23.35 | $24.04 | $19.23 | $18.03 | $14.42 | | | 90880 | Hypnotherapy | $98.89 | $97.39 | $77.91 | $73.04 | $58.43 | | | (Facility Setting) 90880 | Hypnotherapy | $83.31 | $81.40 | $65.12 | $61.05 | $48.84 | | | Testing | | | | | | | | | (96101 & 96102) 96130 | Psychological test-Psychologist | $115.59 | $115.09 | $92.07 | | | | | (Facility Setting) 96130 | | $104.89 | $104.52 | $83.62 | | | | | (96101 & 96102) 96131 | Psych test-Psychologist-Add On | $82.81 | $81.50 | $65.20 | | | | | (Facility Setting) 96131 | | $73.03 | $71.85 | $57.48 | | | | | (96101) 96136 | Admin & Score-30 min | $39.39 | $39.21 | $31.37 | | | | | (Facility Setting) 96136 | | $22.28 | $22.31 | $17.85 | | | | | (96101) 96137 | Admin & Score-Add on 30 Min | $35.53 | $34.49 | $27.59 | | | | | (Facility Setting) 96137 | | $17.20 | $16.99 | $13.59 | | | | | 96105 | Aphasia Asses. | $91.82 | $91.31 | $73.05 | | | | | 96116 | Neurobehavioral status exam | $88.39 | $86.72 | $69.38 | | | | | (Facility Setting) 96116 | | $76.48 | $75.25 | $60.20 | | | | | 96121 | 96116 additional hour | $72.49 | $71.61 | $57.29 | | | | | (Facility Setting) 96121 | 96116 additional hour | $63.93 | $63.16 | $50.53 | | | | | (96118 & 96119) 96132 | Neuropsych-Psychologist 1st Hour | $123.23 | $122.33 | $97.86 | | | | | (Facility Setting) 96132 | | $101.54 | $101.51 | $81.21 | | | | | (96118 & 96119) 96133 | Addititonal Hour | $93.50 | $91.46 | $73.17 | | | | | (Facility Setting) 96133 | | $73.34 | $72.15 | $57.72 | | | |

FAQs

Which CPT code is used for the initial diagnostic assessment in the 2025 Utah Medicare-Loc table?

The table lists CPT 90791 as the initial diagnostic assessment, including both general and facility setting entries.

What therapy services and durations are covered in the 2025 psychotherapy section?

The therapy section includes psychotherapy codes by session length (e.g., 30, 45, 60 minutes) plus crisis psychotherapy (90839), add-on time (90840), psychoanalysis (90845), and family or group psychotherapy codes (90846, 90847, 90849) and group therapy (90853).

What types of psychological testing codes are included in the testing section?

The testing section lists multiple psychological testing and related administrative/scoring CPT codes, including 96130, 96131, 96136, 96137, 96105, 96116, 96121, 96132, and 96133.

Sep 21, 2026

Upload by Levi