Medicare Psychological Rates Increase

Medicare announced rate increases for mental health services this week.  According to the Centers for Medicare and Medicaid Services some of the greatest increases for 2014 Medicare payments go to providers of mental health services including clinical psychologists. 

The largest increases will be for neuropsychological testing.  There were a few codes that the rates were reduced including an initial evaluation, the 90791 which was reduced by 15.5%.  According to the APA the following are estimates of the approximate change to individual codes. 


Percent Increase/Decrease

Psychiatric diagnostic evaluation (90791)


30-minute psychotherapy (90832)


45-minute psychotherapy (90834)


60-minute psychotherapy (90837)


Psychoanalysis (90845)


Family psychotherapy w/o patient (90846)


Family psychotherapy w/ patient (90847)


Multiple family group psychotherapy (90849)


Group psychotherapy (90853)



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