90792: Psychiatric diagnostic evaluation with medical services
90792 is the prescriber's intake: the same diagnostic evaluation as 90791 plus a medical assessment, medication history, and a prescribing decision. On Emora it is the PMHNP's first visit with a child or teen.
- Kind
- CPT code
- Family
- intake
- Time
- One unit per evaluation; no time threshold
- Who bills
- Nurse practitioners
- Telehealth
- Eligible
- Add-on
- Stands alone
When to use it
Use it for the first visit with a new client when a medical evaluation is part of the work, or when a returning client needs a fresh full evaluation before medication decisions.
When not to
Do not use it for follow-up medication visits (those are E/M codes such as 99213 and 99214, often with a psychotherapy add-on). Therapists and psychologists use 90791.
With children and families
Children arrive with a parent and, often, a therapist already in the record. Document the parent's report, the child's own account, developmental and medical history, current medications, and any collaborating-physician arrangement your state requires. On Emora the therapist's notes and rating scales are in the same chart, so cite them.
Questions about 90792
- Who bills 90792?
- Prescribers: PMHNPs and psychiatrists.
- Can a PMHNP bill 90792 for a child already in therapy on Emora?
- Yes. The therapist bills their own sessions; the prescriber bills the evaluation and follow-up visits.
- Is 90792 telehealth-eligible?
- Yes, with the payer's telehealth modifier and place of service.
Related
General information for licensed clinicians, not billing advice. Insurers reimburse each code differently and payer contracts control; Emora handles the billing.
Bring your license. We bring the families.
Apply to Emora Health. You see your per-session pay inside the application, before any call, and you hear back within 48 hours. Less than 7% of applicants are accepted.