90792

CPT Code 90792 description: Psychiatric Diagnosis Interview Examination (PDE) performed by a licensed mental health provider.

According to CMS.gov, CPT Code 90792 requires:

• Elicitation of 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
• Reported once per day and not on the same day as an Evaluation and Management services performed by the same provider for the same client (99202-99205, 99212-99215)
• Covered once at the outset of an illness

90792 License Level Requirements

Unlike CPT Code 90791, 90792 requires performing a medical assessment and therefore can only be performed by licensed medical professionals.

You must obtain an MD as a licensed physician or medical doctor to be able to bill for 90792.  Only psychiatrists and physicians are able to bill CPT code 90792.