What Medicare pays for therapy in West Virginia in 2026
Medicare's 2026 rate for each psychotherapy and psychiatry code in West Virginia, for psychologists and psychiatrists, psychiatric nurse practitioners and PAs, and LCSWs, LMFTs and LPCs. Computed from CMS's own fee schedule files.
In West Virginia, Medicare's 2026 rate for a 60-minute psychotherapy session (90837) is $162.04 for a psychologist or psychiatrist, $137.73 for a psychiatric nurse practitioner or PA, and $121.53 for an LCSW, LMFT or LPC. A 45-minute session (90834) is $110.55. Telehealth to a patient at home pays the same office rate, and the patient pays 20% of it after the Part B deductible.
Medicare therapy rates in West Virginia, 2026
Office and telehealth-to-home rate; 100% is a psychologist or psychiatrist, 75% an LCSW, LMFT or LPC.
| Locality | 90837 | 90834 | 90832 | 90791 | ||||
|---|---|---|---|---|---|---|---|---|
| 100% | 75% | 100% | 75% | 100% | 75% | 100% | 75% | |
| Statewide | $162.04 | $121.53 | $110.55 | $82.91 | $83.27 | $62.45 | $167.82 | $125.87 |
Every code in West Virginia
Medicare locality 11402-16.
| Code | Service | Psychologists, psychiatrists100% | Psychiatric NPs, PAs85% | LCSWs, LMFTs, LPCs75% |
|---|---|---|---|---|
| Psychotherapy sessions | ||||
| 90832 | Psychotherapy, 30 minutes | $83.27 | $70.78 | $62.45 |
| 90834 | Psychotherapy, 45 minutes | $110.55 | $93.97 | $82.91 |
| 90837 | Psychotherapy, 60 minutes | $162.04 | $137.73 | $121.53 |
| 90847 | Family or couples psychotherapy, with the patient | $108.09 | $91.88 | $81.07 |
| 90846 | Family psychotherapy, without the patientRestricted coverage in CMS's file | $104.56 | $88.88 | $78.42 |
| 90853 | Group psychotherapy (per patient) | $29.53 | $25.10 | $22.15 |
| 90839 | Crisis psychotherapy, first 60 minutes | $155.55 | $132.22 | $116.66 |
| Evaluations and assessments | ||||
| 90791 | Diagnostic evaluation (intake) | $167.82 | $142.65 | $125.87 |
| 90792 | Diagnostic evaluation with medical services (prescriber intake) | $197.00 | $167.45 | – |
| 96127 | Brief emotional or behavioral assessment (scored questionnaire) | $4.54 | $3.86 | $3.41 |
| Medical visits (psychiatrists, psychiatric NPs and PAs) | ||||
| 99204 | New-patient medical visit, moderate complexity | $170.01 | $144.51 | – |
| 99213 | Established-patient medical visit, low complexity | $90.10 | $76.59 | – |
| 99214 | Established-patient medical visit, moderate complexity | $128.87 | $109.54 | – |
| 99215 | Established-patient medical visit, high complexity | $183.38 | $155.87 | – |
| Add-on codes (billed with another code; those added to a medical visit are prescribers') | ||||
| 90840 | Crisis psychotherapy, each added 30 minutes | $74.91 | $63.67 | $56.18 |
| 90785 | Interactive complexity (add-on) | $14.22 | $12.09 | $10.67 |
| 90833 | Psychotherapy with a medical visit, 30 minutes (add-on) | $79.62 | $67.68 | – |
| 90836 | Psychotherapy with a medical visit, 45 minutes (add-on) | $100.69 | $85.59 | – |
| 90838 | Psychotherapy with a medical visit, 60 minutes (add-on) | $133.48 | $113.46 | – |
| G2211 | Ongoing-care add-on to a medical visit | $16.91 | $14.37 | – |
What Medicare proposes for West Virginia in 2027
90837 at 100% under CMS's 2027 proposed rule (CMS-1848-P), against 2026. The final rule usually comes out in early November; these figures change to it when it does. Why the therapy codes rise is on the national page.
| Code | Service | 2026 | 2027 proposed | Change |
|---|---|---|---|---|
| 90791 | Diagnostic evaluation (intake) | $167.82 | $162.47 | -3.2% |
| 90832 | Psychotherapy, 30 minutes | $83.27 | $88.71 | +6.5% |
| 90834 | Psychotherapy, 45 minutes | $110.55 | $117.78 | +6.5% |
| 90837 | Psychotherapy, 60 minutes | $162.04 | $173.39 | +7.0% |
| 90847 | Family or couples psychotherapy, with the patient | $108.09 | $119.43 | +10.5% |
| 90853 | Group psychotherapy (per patient) | $29.53 | $31.80 | +7.7% |
| 99214 | Established-patient medical visit, moderate complexity | $128.87 | $124.80 | -3.2% |
Get the final 2027 Medicare rates by email
CMS's final rule for 2027 usually comes out in early November. When it does, these pages change to its rates and you get one short email with what changed. The same list tells you when a therapy platform changes its pay, fees or requirements.
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Building your own practice instead?
The Practice Academy, from Practice of the Practice, is a paid membership with courses, coaching and a community for therapists starting or growing a private practice. Referral link: OnlineTherapy.me earns a fee from Practice of the Practice if you join through it. It never changes what these pages report about any platform.
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Medicare therapy rates in West Virginia, answered
What does Medicare pay for 90837 in West Virginia in 2026?
$162.04 for a psychologist or psychiatrist, in an office or by telehealth to a patient at home; $137.73 for a psychiatric nurse practitioner or PA; and $121.53 for an LCSW, LMFT or LPC.
What does Medicare pay for 90834 in West Virginia?
$110.55 for a psychologist or psychiatrist and $82.91 for an LCSW, LMFT or LPC in 2026.
How many Medicare payment localities does West Virginia have?
One: Medicare pays the same rate across all of West Virginia.
Is Medicare's therapy rate in West Virginia above or below the national rate?
For 90837, all of West Virginia pays $162.04, 3.0% below the national $167.00.
What would Medicare pay for therapy in West Virginia in 2027?
Under CMS's 2027 proposed rule, 90837 in West Virginia would pay $173.39 (+7.0% on 2026). The final rule usually comes out in early November.
How the shares, telehealth and the patient's 20% work, with CMS's own words for each, is on the national Medicare rates page. Working through a platform instead? Compare what each pays and charges clinicians on its therapist page, or see who is hiring in West Virginia.
Medicare therapy rates in other states
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Computed with CMS's payment formula from its RVU26D relative value and GPCI files (CMS), read Oct 29, 2026, and checked against every 2026 amount for these codes in CMS's national payment amount file. Shares by clinician type are from CMS's mental health booklet; counties per locality from CMS's locality file. CPT codes are the American Medical Association's; the descriptions here are our own.