CPT 90792
CPT Code 90792: Psychiatric diagnostic evaluation with medical services
Duration
60-90 min
Typical Fee
$250-$450
Type
Outpatient therapy
Note: Includes medication management component.
When to Use CPT 90792
Use CPT code 90792 when billing for psychiatric diagnostic evaluation with medical services. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.
Adding CPT 90792 to a Superbill
When generating a superbill with CPT 90792, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.
Common ICD-10 Pairings
These diagnosis codes are frequently used alongside CPT 90792:
Documentation Requirements
Must include a medical/physical assessment component (e.g., medication review, vitals). Document both psychiatric evaluation and medical services provided.
Common Denial Reasons
- ✗ Billed by a non-prescribing provider who cannot furnish medical services
- ✗ Duplicate billing — evaluation already performed within the benefit period
- ✗ Medical services component not documented in the note
Reimbursement Expectations
OON reimbursement typically 50-70% of UCR. Expect $125-$315 due to the medical services component.