{"procedure":{"code_type":"CPT","code":"90863","lay_name":"Medication management added to a therapy session","blurb":"An add-on charge for reviewing and prescribing psychiatric medication during the same visit as a psychotherapy session; it is billed in addition to the therapy charge.","slug":"cpt-90863-medication-management-added-to-a-therapy-session","description":"PHARMACOLOGIC MGMT W/PSYTX","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"218","label":"Psychological and psychiatric evaluation and therapy","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-21","checked_from":"2026-09-05T02:25:45.615843Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":382,"n_usable":329,"n_not_usable":0,"n_labelled":19,"n_no_cash":34,"n_estimated":0,"n_states":44,"cash_p10":28.72,"cash_p20":40.3,"cash_p25":43.4,"cash_p50":76.23,"cash_p75":136.8,"cash_p80":160.0,"cash_p90":239.2,"cash_mean_trimmed":80.22,"gross_p50":126.0,"cash_to_gross_p50":0.654,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":6,"p20":null,"p50":null,"p80":null},{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":48,"p20":78.96,"p50":78.96,"p80":239.2},{"state":"CO","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":9,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":59.2,"p50":59.2,"p80":118.2},{"state":"IL","n":13,"p20":35.0,"p50":83.0,"p80":217.0},{"state":"IN","n":13,"p20":28.74,"p50":32.83,"p80":46.44},{"state":"KS","n":7,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":17,"p20":43.8,"p50":43.8,"p80":70.4},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":7,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NM","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":3,"p20":null,"p50":null,"p80":null},{"state":"NY","n":41,"p20":45.0,"p50":93.0,"p80":224.78},{"state":"OH","n":11,"p20":60.6,"p50":102.7,"p80":142.8},{"state":"OK","n":10,"p20":43.4,"p50":43.4,"p80":43.4},{"state":"OR","n":12,"p20":67.2,"p50":67.2,"p80":93.0},{"state":"PA","n":24,"p20":16.1,"p50":43.0,"p80":122.4},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":8,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":6,"p20":null,"p50":null,"p80":null},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":245,"p20":43.4,"p50":78.96,"p80":171.0},{"key":"childrens","n":7,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":76,"p20":32.76,"p50":52.65,"p80":107.1}],"ownership":[{"key":"for_profit","n":18,"p20":null,"p50":null,"p80":null},{"key":"government","n":50,"p20":37.0,"p50":64.4,"p80":115.0},{"key":"nonprofit","n":260,"p20":39.52,"p50":76.23,"p80":159.36}],"affiliation":[{"key":"affiliated","n":259,"p20":39.52,"p50":70.4,"p80":170.5},{"key":"independent","n":70,"p20":42.77,"p50":84.46,"p80":142.45}]},"histogram":[{"lo":24.4,"hi":30.98,"n":24},{"lo":30.98,"hi":39.33,"n":24},{"lo":39.33,"hi":49.94,"n":45},{"lo":49.94,"hi":63.41,"n":30},{"lo":63.41,"hi":80.5,"n":49},{"lo":80.5,"hi":102.21,"n":27},{"lo":102.21,"hi":129.77,"n":27},{"lo":129.77,"hi":164.76,"n":23},{"lo":164.76,"hi":209.19,"n":23},{"lo":209.19,"hi":265.6,"n":25}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:05:50.973703Z","filing_date_min":"2024-01-27","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:25:45.615843Z","checked_through":"2026-09-25T01:13:17.896106Z","n_priced_setters":3956,"n_filed":243,"n_usable":218,"n_not_usable":0,"n_labelled":14,"n_no_cash":11,"n_estimated":0,"n_states":39,"cash_p10":40.5,"cash_p20":46.2,"cash_p25":54.4,"cash_p50":78.96,"cash_p75":159.36,"cash_p80":176.55,"cash_p90":239.2,"cash_mean_trimmed":93.29,"gross_p50":141.0,"cash_to_gross_p50":0.7,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":1,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":46,"p20":78.96,"p50":78.96,"p80":239.2},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":5,"p20":null,"p50":null,"p80":null},{"state":"HI","n":4,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":59.2,"p50":59.2,"p80":118.2},{"state":"IL","n":12,"p20":44.4,"p50":59.2,"p80":176.55},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":5,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":5,"p20":null,"p50":null,"p80":null},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":1,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":28,"p20":48.0,"p50":97.34,"p80":224.78},{"state":"OH","n":11,"p20":50.05,"p50":98.4,"p80":142.8},{"state":"OK","n":10,"p20":43.4,"p50":43.4,"p80":43.4},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":43.0,"p50":105.2,"p80":159.36},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":1,"p20":null,"p50":null,"p80":null},{"state":"TX","n":2,"p20":null,"p50":null,"p80":null},{"state":"VA","n":8,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":5,"p20":null,"p50":null,"p80":null},{"state":"WI","n":5,"p20":null,"p50":null,"p80":null},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":176,"p20":56.0,"p50":88.27,"p80":188.0},{"key":"childrens","n":6,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":35,"p20":27.5,"p50":47.0,"p80":102.4}],"ownership":[{"key":"for_profit","n":9,"p20":null,"p50":null,"p80":null},{"key":"government","n":33,"p20":36.4,"p50":62.3,"p80":96.76},{"key":"nonprofit","n":175,"p20":48.0,"p50":88.27,"p80":185.28}],"affiliation":[{"key":"affiliated","n":177,"p20":48.0,"p50":78.96,"p80":188.0},{"key":"independent","n":41,"p20":42.77,"p50":78.75,"p80":116.0}]},"histogram":[{"lo":28.72,"hi":35.79,"n":7},{"lo":35.79,"hi":44.6,"n":27},{"lo":44.6,"hi":55.57,"n":13},{"lo":55.57,"hi":69.25,"n":23},{"lo":69.25,"hi":86.3,"n":37},{"lo":86.3,"hi":107.54,"n":25},{"lo":107.54,"hi":134.01,"n":11},{"lo":134.01,"hi":166.99,"n":14},{"lo":166.99,"hi":208.09,"n":20},{"lo":208.09,"hi":259.31,"n":22}],"previous":null}},"related":[{"code_type":"CPT","code":"96125","lay_name":"Standardized cognitive testing by a clinician, per hour","slug":"cpt-96125-standardized-cognitive-testing-by-a-clinician-per-hour"},{"code_type":"CPT","code":"90832","lay_name":"Psychotherapy session, about 30 minutes","slug":"cpt-90832-psychotherapy-session-about-30-minutes"},{"code_type":"CPT","code":"90834","lay_name":"Psychotherapy session, about 45 minutes","slug":"cpt-90834-psychotherapy-session-about-45-minutes"},{"code_type":"CPT","code":"90837","lay_name":"Psychotherapy session, 60 minutes","slug":"cpt-90837-psychotherapy-session-60-minutes"},{"code_type":"CPT","code":"90791","lay_name":"Psychiatric diagnostic evaluation","slug":"cpt-90791-psychiatric-diagnostic-evaluation"},{"code_type":"CPT","code":"90853","lay_name":"Group therapy session","slug":"cpt-90853-group-therapy-session"},{"code_type":"CPT","code":"90847","lay_name":"Family therapy with the patient present, 50 minutes","slug":"cpt-90847-family-therapy-with-the-patient-present-50-minutes"},{"code_type":"CPT","code":"90846","lay_name":"Family therapy without the patient present, 50 minutes","slug":"cpt-90846-family-therapy-without-the-patient-present-50-minutes"},{"code_type":"CPT","code":"90792","lay_name":"Psychiatric diagnostic evaluation with medical services","slug":"cpt-90792-psychiatric-diagnostic-evaluation-with-medical-services"},{"code_type":"CPT","code":"90839","lay_name":"Crisis psychotherapy, first 60 minutes","slug":"cpt-90839-crisis-psychotherapy-first-60-minutes"},{"code_type":"CPT","code":"96127","lay_name":"Brief screening for emotional or behavioral problems","slug":"cpt-96127-brief-screening-for-emotional-or-behavioral-problems"},{"code_type":"CPT","code":"96116","lay_name":"Exam of thinking and behavior by a clinician, first hour","slug":"cpt-96116-exam-of-thinking-and-behavior-by-a-clinician-first-hour"}]}