What codes can be billed with 90792?
When a patient is referred with an organic diagnosis and a mental health diagnosis is established, the mental health diagnosis should be billed. If a psychiatric diagnostic evaluation with medical assessment is performed, the physician or NPP may use CPT code 90792 or an evaluation and management (E/M) code.
How often can CPT 90792 be billed?
once per day
90792 applies to new patients or to patients undergoing reevaluation. Use this code only once per day regardless of the number of sessions or time that the provider spends with the patient on the same day.
Is CPT code 90792 time based?
CPT Code 90792 Time Length Providers require at minimum 60 minutes up to 120 minutes of time to render an exhaustive diagnostic interview and examination of their mental health clients in order to code procedure code 90792.
Can CPT 90792 be billed inpatient?
Medicare will pay for only one 90792 per year for institutionalized patients unless medical necessity can be established for others. Medicare permits the use of this code or the appropriate level of the E/M codes (see below) to denote the initial evaluation or first-day services for hospitalized patients.
Is 90792 covered by Medicare?
Medicare will pay for only one 90792 per year for institutionalized patients unless medical necessity can be established for others. Medicare permits the use of this code or the appropriate level of the E/M codes (see below) to denote the initial evaluation or first- day services for hospitalized patients.
Can a psychiatric nurse practitioner Bill 90792?
A nurse practitioner may use 90792 if the nurse practitioner is credentialed (not incident to). The documentation for the assessment should be the equivalent of that required for a 99215 psychiatric E/M (97 guidelines). The medical portion of the 90792 is covered by the medication management.
Can a nurse practitioner bill CPT 90792?
How many RVUS does 90792 have?
Revisions to Payment for Office/Outpatient Evaluation and Management (E/M) Visits
| CPT code | Code Descriptor | CY 2020 Work RVU |
|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 3.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.25 |
| 90832 | Psychotherapy, 30 minutes with patient | 1.50 |
| 90834 | Psychotherapy, 45 minutes with patient | 2.00 |
How many RVU do I need for 90792?