The following are estimates of Medicare reimbursement for key psychological services with changes from 2026 to 2027, taking into account updates in the Conversion Factor (CF) and the Relative Value Units (RVUs).
Table 1. 2026-2027 changes in reimbursement for the ten services most commonly provided by psychologists and group therapy.
| 2026 | 2027 | ||||
|
HCPCS |
RVU |
NPA |
RVU |
NPA |
2026-2027 |
| 90837 | 5.00 | $167.00 | 5.62 | $183.37 | 9.80% |
| 90834 | 3.41 | $113.90 | 3.81 | $124.31 | 9.15% |
| 90832 | 2.57 | $85.84 | 2.87 | $93.64 | 9.09% |
| 90791 | 5.19 | $173.35 | 5.26 | $171.63 | -0.99% |
| 96139 | 1.06 | $35.40 | 1.11 | $36.22 | 2.30% |
| 96133 | 2.93 | $97.86 | 2.97 | $96.91 | -0.98% |
| 96137 | 1.11 | $37.07 | 1.15 | $37.52 | 1.21% |
| 96132 | 3.66 | $122.25 | 3.73 | $121.70 | -0.44% |
| 90785 | 0.44 | $14.70 | 0.44 | $14.36 | -2.31% |
| 96136 | 1.31 | $43.76 | 1.35 | $44.05 | 0.67% |
| 90853 | 0.91 | $30.39 | 1.02 | $33.28 | 9.50% |
| CF | 33.4009 | 32.6286 | AVERAGE CHANGE | 3.36% | |
| -2.31% | |||||
Table 2. 2026-2027 changes in reimbursement for all other behavioral health services provided by psychologists.
| 2026 | 2027 | ||||
| HCPCS | RVU | NPA | RVU | NPA | 2026-2027 |
| 90839 | 4.8 | $160.32 | 5.35 | $174.56 | 8.88% |
| 90840 | 2.31 | $77.16 | 2.57 | $83.86 | 8.68% |
| 90845 | 3.27 | $109.22 | 3.62 | $118.12 | 8.14% |
| 90846 | 3.17 | $105.88 | 3.7 | $120.73 | 14.02% |
| 90847 | 3.28 | $109.55 | 3.84 | $125.29 | 14.37% |
| 90849 | 1.21 | $40.42 | 1.54 | $50.25 | 24.33% |
| 96156 | 3.22 | $107.55 | 3.6 | $117.46 | 9.22% |
| 96158 | 2.21 | $73.82 | 2.49 | $81.25 | 10.06% |
| 96159 | 0.76 | $25.38 | 0.86 | $28.06 | 10.54% |
| 96164 | 0.28 | $9.35 | 0.37 | $12.07 | 29.09% |
| 96165 | 0.15 | $5.01 | 0.17 | $5.55 | 10.71% |
| 96167 | 2.34 | $78.16 | 2.64 | $86.14 | 10.21% |
| 96168 | 0.85 | $28.39 | 0.96 | $31.32 | 10.33% |
| CF | 33.4009 | 32.6286 | AVERAGE CHANGE | 12.97% | |
| -2.31% | |||||
Notes:
(1) Tables are updated from values originally posted 11/7 thanks to feedback from a careful reader/knowledgeable colleague, gratefully appreciated!
(2) NPA (National Payment Amount) values will vary by geographic location due to Geographic Practice Cost Index (GPCI) adjustments.
(3) NPAs are for Non-facility, Non-QPP (alternative payment) rates. See 2026 Final and 2025 for the most recent prior reports.