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Our Definitive Guide to CPT Code 90792 will teach you how to understand when to bill 90792, what license you need, when to use procedure code 90791, and what criteria is required to perform a psychiatric diagnosis interview and evaluation.
The 90792 CPT code provides a standardized framework for conducting comprehensive assessments, ensuring accurate diagnosis, and guiding effective care. It encompasses extensive interviewing, mental status examination, and the formulation of an initial treatment plan.
The Current Procedural Terminology (CPT ®) code 90792 as maintained by American Medical Association, is a medical procedural code under the range - Psychiatric Diagnostic Evaluation Services. Subscribe to Codify by AAPC and get the code details in a flash.
The 90792 CPT code is used to bill for psychiatric diagnostic evaluations, including medical history, mental status examination, and formulation of a diagnosis. This code is often used for initial evaluations and is essential for proper reimbursement for mental health providers.
If a psychiatric diagnostic evaluation with medical assessment is performed, the physician or non-physician practitioner (NPP) may use CPT code 90792 or an evaluation and management (E/M) code. If a patient is unable to communicate by any means, the interactive complexity CPT code 90785 should not be billed.
90792 CPT Code Description. As per CMS guidelines, CPT Code 90792 requires: Complete medical and psychiatric medical history (including past, family, and social) Full scrutiny of mental well-being. Proper evaluation for Preliminary diagnosis. Efficiency and efficacy of the treatment with the ability of the patient to respond to medication.
Code 90792 is used for an intake assessment for care that includes medical services, such as ordering diagnostic work or prescribing medication. For this reason, 90792 can only be billed by a qualified medical clinician like a psychiatrist or nurse practitioner.
(CPT codes 90791-90792) Require the following: • Elicitation of a complete medical and psychiatric history (including past, family, social) • Mental status examination • Establishment of an initial diagnosis • Evaluation of the patient’s ability and capacity to respond to treatment’ • Initial plan of treatment
CPT Code 90792 is used for psychiatric diagnostic evaluations in mental health care. It involves eliciting complete medical and psychiatric history, conducting a mental status examination, establishing an initial diagnosis, and evaluating the patient’s ability to respond to treatment.
CPT Code 90839 is for psychotherapy crisis for the first 60 minutes and code 90840 is for each additional 30 minutes. These codes are reported by themselves and may not be reported with 90791, 90792, 90832-90838, 90785-90899. Medicare does not cover biofeedback for the treatment of psychosomatic disorders.