# CPT 90792: Psychiatric diagnostic evaluation with medical services

Medicare CPT 90792 pays $202.08 in a non-facility setting and $159.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $191.22 in Arkansas to $272.73 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/90792-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Emergency Medicine, Psychiatry & Neurology, Psychoanalyst

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $202.08 |
| National facility | $159.32 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $272.73 | $227.20 |
| District of Columbia | $220.45 | $170.08 |
| New York | $217.34 | $169.65 |
| New Jersey | $216.94 | $168.80 |
| California | $214.99 | $164.40 |
| Washington | $213.30 | $164.56 |
| Massachusetts | $212.24 | $164.21 |
| Connecticut | $210.47 | $164.43 |
| Florida | $207.64 | $164.75 |
| Hawaii | $207.56 | $158.95 |
| Maryland | $206.77 | $162.19 |
| Colorado | $206.18 | $160.69 |
| Rhode Island | $206.00 | $161.83 |
| Illinois | $205.80 | $164.49 |
| Oregon | $204.69 | $159.65 |
| New Hampshire | $203.72 | $159.22 |
| Puerto Rico | $202.62 | $159.40 |
| Virgin Islands | $202.62 | $159.40 |
| Pennsylvania | $202.54 | $160.66 |
| Montana | $202.06 | $159.31 |
| Texas | $201.55 | $159.46 |
| Delaware | $201.51 | $159.27 |
| Nevada | $201.18 | $158.39 |
| Michigan | $200.89 | $160.74 |
| Georgia | $200.76 | $159.98 |
| Wyoming | $200.60 | $157.85 |
| Minnesota | $199.74 | $155.75 |
| Arizona | $199.48 | $158.05 |
| Virginia | $199.43 | $157.40 |
| North Dakota | $198.70 | $155.95 |
| Vermont | $198.70 | $156.37 |
| New Mexico | $198.45 | $159.24 |
| South Dakota | $198.31 | $155.55 |
| Utah | $198.05 | $157.86 |
| Maine | $197.40 | $156.55 |
| Louisiana | $197.35 | $158.31 |
| Missouri | $197.26 | $158.03 |
| Ohio | $197.12 | $158.09 |
| West Virginia | $197.00 | $159.84 |
| South Carolina | $196.86 | $157.35 |
| North Carolina | $196.18 | $156.29 |
| Wisconsin | $195.73 | $154.78 |
| Kentucky | $195.22 | $157.21 |
| Indiana | $194.96 | $155.33 |
| Oklahoma | $194.66 | $156.48 |
| Idaho | $194.49 | $155.15 |
| Tennessee | $194.22 | $155.36 |
| Nebraska | $194.12 | $154.66 |
| Iowa | $193.77 | $154.65 |
| Kansas | $193.74 | $155.10 |
| Mississippi | $192.61 | $155.80 |
| Alabama | $192.43 | $155.02 |
| Arkansas | $191.22 | $154.50 |

## Related codes

- 90791: Psychiatric diagnostic evaluation — https://www.med-reveal.com/rates/90791-cpt-fee-schedule
- 90889: Preparation of report of patient's psychiatric status for other agencies/individuals — https://www.med-reveal.com/rates/90889-cpt-fee-schedule
- 96127: Brief emotional/behavioral assessment, with scoring and documentation — https://www.med-reveal.com/rates/96127-cpt-fee-schedule
- H0002: Behavioral health screening to determine eligibility for services — https://www.med-reveal.com/rates/H0002-hcpcs-fee-schedule
- H0031: Mental health assessment, by non-physician — https://www.med-reveal.com/rates/H0031-hcpcs-fee-schedule
- H2000: Comprehensive multidisciplinary evaluation — https://www.med-reveal.com/rates/H2000-hcpcs-fee-schedule
- H2010: Comprehensive medication services, per 15 minutes — https://www.med-reveal.com/rates/H2010-hcpcs-fee-schedule

Commercial negotiated rates for 90792 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules