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CPT code 90792: Psychiatric evaluation, with medical services2026 Medicare rate & RVUs in Washington, DC area

Report this service for a psychiatric diagnostic assessment that includes medical evaluation, such as assessing medication needs and developing a treatment plan.

CMS RVU26DEffective Oct 1, 2026One payment locality554.1K Medicare services in 2024

In Washington, DC area, Medicare pays $220.45 for 90792 in the office and $170.08 when it’s performed in a hospital or facility.

$220.45Office (non-facility)
$170.08Hospital or facility
+9.1%vs the national office rate ($202.08)

Check a contract rate as a % of Medicare · 90792 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 90792 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 90792 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 90792 covers

A psychiatrist or other qualified clinician performs a psychiatric assessment that includes medical services. The work may include reviewing psychiatric and medical history, conducting a mental status examination, forming a diagnostic impression, assessing medication needs, and developing a treatment plan. It is commonly provided in an office or hospital outpatient setting for a patient who needs a diagnostic assessment, including when medication may be part of care.

Select this code when the diagnostic evaluation includes medical services, rather than an evaluation without them. Documentation should support the assessment, findings, diagnostic impression, and medical decisions, including medication-related decisions when made. CMS values the service through physician work, practice expense, and malpractice components; practice expense has separate office and facility valuations. The code represents the diagnostic evaluation, not an ongoing medication follow-up visit.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Billing guides for 90792: 90791 vs 90792 · Mental health billing

How Washington, DC area compares for 90792

Across 109 of 109 payment localities, the office rate for 90792 runs from $191.22 in Arkansas to $272.73 in Alaska. Washington, DC area pays $220.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

90792 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$220.45
  2. Los Angeles, CA · California$216.38−$4.07
  3. Miami, FL · Florida$213.11−$7.34
  4. Chicago, IL · Illinois$210.69−$9.76
  5. Manhattan, NY · New York$223.60+$3.15
  6. Alaska · Alaska$272.73+$52.28
  7. Alabama · Alabama$192.43−$28.02

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

90792 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$191.22$154.50
ArizonaArizona$199.48$158.05
Bakersfield, CACalifornia$208.01$161.15
Chico, CACalifornia$207.32$160.46
El Centro, CACalifornia$207.35$160.49
Fresno, CACalifornia$207.32$160.46
Hanford, CACalifornia$207.32$160.46
Madera, CACalifornia$207.32$160.46

90792 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$191.22

$272.73

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
90792 office rate range by state
State / territoryOffice rate rangeLocalities
AK$272.731
AL$192.431
AR$191.221
AZ$199.481
CA$207.32–$240.1229
CO$206.181
CT$210.471
DC$220.451
DE$201.511
FL$202.40–$213.113
GA$196.96–$204.552
GU$207.561
HI$207.561
IA$193.771
ID$194.491
IL$200.27–$210.694
IN$194.961
KS$193.741
KY$195.221
LA$195.23–$199.462
MA$206.19–$218.292
MD$203.69–$220.453
ME$195.33–$199.462
MI$197.81–$203.962
MN$199.741
MO$194.00–$199.333
MS$192.611
MT$202.061
NC$196.181
ND$198.701
NE$194.121
NH$203.721
NJ$213.47–$220.412
NM$198.451
NV$201.181
NY$197.52–$226.695
OH$197.121
OK$194.661
OR$200.16–$209.222
PA$197.05–$208.032
PR$202.621
RI$206.001
SC$196.861
SD$198.311
TN$194.221
TX$196.50–$205.048
UT$198.051
VA$199.43–$220.452
VI$202.621
VT$198.701
WA$205.57–$221.022
WI$195.731
WV$197.001
WY$200.601

See 90792 in every payment locality

How the 90792 rate is calculated

Each of 90792’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 90792

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.16

4.16 RVUs× 1.000 GPCI

Practice expense1.72

1.72 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

6.0500

Conversion factor

$33.4009

Medicare rate

$202.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,528

Code
90792
Physician work
4.16
Practice expense
1.72
Malpractice
0.17

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 90792 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.16× 1.0544.3846
Practice expense1.72× 1.1782.0262
Malpractice0.17× 1.1130.1892
Total RVUs6.6000
Conversion factor× 33.4009

Office rate, Washington, DC area$220.45

Office: (4.16 × 1.054 + 1.72 × 1.178 + 0.17 × 1.113) × $33.4009 = $220.45

Facility: (4.16 × 1.054 + 0.44 × 1.178 + 0.17 × 1.113) × $33.4009 = $170.08

Open 90792 in the RVU calculator

Payment rules and modifiers for 90792

90792 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 90792

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$202.08

Non-facility (office)
$202.08
Facility
$159.32

Higher because the practice carries its own overhead.

Codes related to 90792

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 90792
CodeHow it relatesOffice range, Washington, DC area
Same family
90791Psychiatric evaluation, without medical servicesPsychiatric diagnostic evaluation without the medical services included in 90792.$188.26
Add-on codes
90785Interactive complexity, communication factorsInteractive complexity is an add-on when its criteria are met with this evaluation.$15.95
Used instead
99204Office visit, new patient, moderate complexityA new-patient office E/M code when the service is a general medical evaluation rather than psychiatric diagnostic assessment.$197.64

How 90792 has changed in Washington, DC area

90792 · Office / nonfacility

$220.45

Effective 2026-10-01

The base rate is $14.72 higher than on 2025-10-01, moving from $205.73 to $220.45 (7.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $205.73changed to$220.45

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.49 changed to 1.72
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $212.10changed to$205.73

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $208.64changed to$212.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $216.44changed to$208.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.46 changed to 1.49
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $221.80changed to$216.44

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.17 changed to 0.18
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $223.16changed to$221.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.47 changed to 1.46
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $176.58changed to$223.16

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 3.25 changed to 4.16
    • Practice expense RVU 1.10 changed to 1.47
    • Malpractice RVU 0.11 changed to 0.15
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $171.36changed to$176.58

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.96 changed to 1.10
    • Malpractice RVU 0.16 changed to 0.11
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $165.51changed to$171.36

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.84 changed to 0.96
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $160.65changed to$165.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.73 changed to 0.84
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $158.92changed to$160.65

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.70 changed to 0.73
    • Malpractice RVU 0.14 changed to 0.15
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $160.79changed to$158.92

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.73 changed to 0.70

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $159.99changed to$160.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $155.84changed to$159.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.67 changed to 0.73
    • Malpractice RVU 0.11 changed to 0.14
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $133.51changed to$155.84

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 2.96 changed to 3.25
    • Practice expense RVU 0.58 changed to 0.67
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $133.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$220.45$170.08RVU26D
2026-07-01$220.45$170.08RVU26C
2026-04-01$220.45$170.08RVU26B
2026-01-01$220.45$170.08RVU26A
2025-10-01$205.73$176.81RVU25D
2025-07-01$205.73$176.81RVU25C
2025-04-01$205.73$176.81RVU25B
2025-01-01$205.73$176.81RVU25A
2024-10-01$212.10$182.74RVU24D
2024-07-01$212.10$182.74RVU24C
2024-04-01$212.10$182.74RVU24B
2024-03-09$212.10$182.74RVU24AR
2024-01-01$208.64$179.76RVU24A
2023-10-01$216.44$186.82RVU23D
2023-07-01$216.44$186.82RVU23C
2023-04-01$216.44$186.82RVU23B
2023-01-01$216.44$186.82RVU23A
2022-10-01$221.80$191.43RVU22D
2022-07-01$221.80$191.43RVU22C
2022-04-01$221.80$191.43RVU22B
2022-01-01$221.80$191.43RVU22A
2021-10-01$223.16$192.11RVU21D
2021-07-01$223.16$192.11RVU21C
2021-04-01$223.16$192.11RVU21B
2021-01-01$223.16$192.11RVU21A
2020-10-01$176.58$154.55RVU20D
2020-07-01$176.58$154.55RVU20C
2020-04-01$176.58$154.55RVU20B
2020-01-01$176.58$154.55RVU20A
2019-10-01$171.36$155.73RVU19D
2019-07-01$171.36$155.73RVU19C
2019-04-01$171.36$155.73RVU19B
2019-01-01$171.36$155.73RVU19A
2018-10-01$165.51$155.53RVU18D
2018-07-01$165.51$155.53RVU18C
2018-04-01$165.51$155.53RVU18B
2018-01-01$165.51$155.53RVU18AR1
2017-10-01$160.65$155.46RVU17D
2017-07-01$160.65$155.46RVU17C
2017-04-01$160.65$155.46RVU17B
2017-01-01$160.65$155.46RVU17A
2016-10-01$158.92$153.74RVU16D
2016-07-01$158.92$153.74RVU16C
2016-04-01$158.92$153.74RVU16B
2016-01-01$158.92$153.74RVU16A
2015-10-01$160.79$155.59RVU15D
2015-07-01$160.79$155.59RVU15C
2015-04-01$159.99$154.82RVU15B
2015-01-01$159.99$154.82RVU15A
2014-10-01$155.84$150.68RVU14D
2014-07-01$155.84$150.68RVU14C
2014-04-01$155.84$150.68RVU14B
2014-01-01$155.84$150.68RVU14A
2013-10-01$133.51$129.44RVU13D
2013-07-01$133.51$129.44RVU13C
2013-04-01$133.51$129.44RVU13B
2013-01-01$133.51$129.44RVU13AR

Price 90792 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

90792 billing questions

How does this differ from 90791?

Use 90792 when the psychiatric diagnostic evaluation includes medical services. Use 90791 for the evaluation without medical services; do not report both for the same assessment.

Does 90792 include medication management?

It can include assessment of medication needs and related medical decisions as part of the diagnostic evaluation. It does not by itself describe a later, ongoing medication follow-up visit.

Can 90785 be reported with 90792?

Yes, when the encounter meets the requirements for interactive complexity. 90785 is an add-on, so report it with the qualifying primary service rather than alone.

Is 90792 selected by visit duration?

No. Selection turns on whether the psychiatric diagnostic evaluation includes medical services, not on a time threshold.

Can a separate E/M service be billed for the same evaluation?

The medical assessment and decisions that are part of the 90792 evaluation are represented by this service. Do not separately report an E/M service for the same work.

90792 is in these specialty bundles: Behavioral health

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 90792PPRRVU2026_Oct_nonQPP.csv, line 11,528 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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