CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
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This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 90792
Related Codes Table
| Code | Description |
|---|---|
| 90791 | Psychiatric diagnostic evaluation without medical services |
| 90832 | Psychotherapy, 30 minutes with patient and/or family member |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, typically 25 minutes |
| 90839 | Psychoanalysis |
| 96127 | Brief emotional/behavioral assessment (eg, depression inventory) |
Commonly Billed With
CPT 90792 is commonly billed with CPT codes 90833 (Psychotherapy, 30 minutes with patient and/or family member when performed with an evaluation and management service) and 90836 (Psychotherapy, 45 minutes with patient and/or family member when performed with an evaluation and management service).
Clinical Scenarios
Patient presents with symptoms of depression:
In this scenario, the provider conducts a comprehensive psychiatric diagnostic evaluation to assess the patient's symptoms and determine an appropriate treatment plan.
Patient exhibits signs of anxiety disorder:
The provider performs a thorough evaluation to diagnose the anxiety disorder and recommend suitable interventions for the patient.
Patient with history of substance abuse seeks psychiatric evaluation:
The provider conducts a detailed assessment to address both the psychiatric needs and the history of substance abuse in the treatment plan.
FAQ
Can CPT 90792 be billed separately from psychotherapy services?
No, CPT 90792 includes both the psychiatric diagnostic evaluation and medical services provided on the same day.
Is prior authorization required for billing CPT 90792?
Prior authorization requirements may vary by insurance carrier. It is recommended to check with the specific payer before billing this code.
What is the typical duration of a psychiatric diagnostic evaluation with medical services?
The duration can vary based on the complexity of the case, but it generally involves a comprehensive assessment that may take around 60 to 90 minutes.
Can CPT 90792 be used for initial evaluations only or for follow-up visits as well?
CPT 90792 can be used for both initial evaluations and follow-up visits when a comprehensive diagnostic assessment is required along with medical services.
Are there any specific documentation requirements for billing CPT 90792?
Providers must document a detailed history, mental status examination, medical decision-making, and treatment plan to support billing for CPT 90792.
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