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See a sample rate comparisonCPT 90792 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Mental Health Eval W/Services, An Assessment By A Psychiatrist Of A Persons Mental Health Status Conducted Through An Interview Exam Or Nonverbal Methods. It Includes Additional Medical Services Such As Pharmacy Or Other Diagnostic Evaluation.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home |
| Common Modifiers | 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Moderate |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Treatment |
| Setting | Outpatient |
| Medicare Fee Schedule | $202.08 national non-facility rate (2026) · View Medicare rates for 90792 |
| Medicaid Fee Schedule | $165.375 median of the 8 states in the free preview · View Medicaid rates for 90792 |
National average reimbursement for CPT 90792 by major payers:
$210.44
$173.44
$183.80
$230.32
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CPT 90792
5 of 25 sample ratesHigher to lower in this preview
Carolyn Certilman
Carmel Psychological Health PC / Child And Family Psychiatry Inc / Child And Family Psychological Services PLLC
$249.80Published rateKatherine Mcguinness
$177.64Published rateFrancine Walsh
$162.14Published rateShirley Duarte
$154.77Published rateMolly Fisher
$137.52Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 90792 vs. Other Psychiatry Services and Procedures Codes
The CPT 90792 code is part of the Medicine Services and Procedures services used for Psychiatry Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90792 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90791-CPT | Low | Mental Health Evaluation, An Assessment By A Mental Health Professional Of A Persons Mental Health Status. This Is Conducted Through An Interview Exam Or Nonverbal Methods. The Mental Health Professional May Communicate With Family Or Other People. |
| 90792-CPT | Moderate | Mental Health Eval W/Services, An Assessment By A Psychiatrist Of A Persons Mental Health Status Conducted Through An Interview Exam Or Nonverbal Methods. It Includes Additional Medical Services Such As Pharmacy Or Other Diagnostic Evaluation. |
| 90832-CPT | Low | Psychotherapy Session 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 30 Minutes. |
| 90839-CPT | Low | Crisis Therapy 60 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional For Crisis Management; 60 Minutes. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90792. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90792 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
CPT 90792 is a moderate-complexity code used within Psychiatry Services and Procedures. It differs from other psychiatry codes primarily in the required provider time, the level of medical decision-making, and the documentation requirements. Unlike lower-level codes that demand less time and simpler assessments, CPT 90792 involves more provider time and moderate medical decision-making. This typically includes managing multiple diagnoses, medication management, or interpreting tests, which leads to higher reimbursement and more detailed documentation. Essentially, the codes vary based on the complexity and intensity of the service provided.