CPT code 90792: Psychiatric evaluation, with medical services2026 Medicare rate & RVUs in Utah
Report this service for a psychiatric diagnostic assessment that includes medical evaluation, such as assessing medication needs and developing a treatment plan.
In Utah, Medicare pays $198.05 for 90792 in the office and $157.86 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Utah 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. Utah pays $198.05. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$198.05
- Los Angeles, CA · California$216.38+$18.33
- Washington, DC area · District of Columbia$220.45+$22.40
- Miami, FL · Florida$213.11+$15.06
- Chicago, IL · Illinois$210.69+$12.64
- Manhattan, NY · New York$223.60+$25.55
- Alaska · Alaska$272.73+$74.68
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $192.43 | $155.02 |
| 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 |
| Merced, CACalifornia | $207.32 | $160.46 |
| Modesto, CACalifornia | $207.32 | $160.46 |
| Napa, CACalifornia | $226.30 | $169.96 |
| Oxnard, CACalifornia | $214.28 | $163.75 |
| Redding, CACalifornia | $207.32 | $160.46 |
| Rest of CaliforniaCalifornia | $207.32 | $160.46 |
| Riverside, CACalifornia | $209.26 | $162.40 |
| Sacramento, CACalifornia | $213.81 | $164.09 |
| Salinas, CACalifornia | $212.88 | $163.33 |
| San Diego, CACalifornia | $214.90 | $163.77 |
| Marin County, CACalifornia | $235.76 | $175.48 |
| San Francisco, CACalifornia | $235.56 | $175.28 |
| San Benito County, CACalifornia | $240.12 | $178.47 |
| Santa Clara County, CACalifornia | $239.33 | $177.68 |
| San Luis Obispo, CACalifornia | $209.79 | $161.09 |
| Santa Cruz, CACalifornia | $214.71 | $162.77 |
| Santa Maria, CACalifornia | $212.87 | $163.02 |
| Santa Rosa, CACalifornia | $216.71 | $164.21 |
| Stockton, CACalifornia | $207.32 | $160.46 |
| Vallejo, CACalifornia | $226.03 | $169.68 |
| Visalia, CACalifornia | $207.32 | $160.46 |
| Yuba City, CACalifornia | $207.32 | $160.46 |
| ColoradoColorado | $206.18 | $160.69 |
| ConnecticutConnecticut | $210.47 | $164.43 |
| DelawareDelaware | $201.51 | $159.27 |
| Fort Lauderdale, FLFlorida | $207.41 | $164.10 |
| Rest of FloridaFlorida | $202.40 | $161.53 |
| Atlanta, GAGeorgia | $204.55 | $161.12 |
| Rest of GeorgiaGeorgia | $196.96 | $158.83 |
| Hawaii, Guam, HIHawaii | $207.56 | $158.95 |
| IowaIowa | $193.77 | $154.65 |
| IdahoIdaho | $194.49 | $155.15 |
| East St. Louis, ILIllinois | $203.24 | $163.90 |
| Rest of IllinoisIllinois | $200.27 | $161.24 |
| Suburban Chicago, ILIllinois | $208.98 | $165.08 |
| IndianaIndiana | $194.96 | $155.33 |
| KansasKansas | $193.74 | $155.10 |
| KentuckyKentucky | $195.22 | $157.21 |
| New Orleans, LALouisiana | $199.46 | $159.23 |
| Rest of LouisianaLouisiana | $195.23 | $157.39 |
| Metropolitan Boston, MAMassachusetts | $218.29 | $167.25 |
| Rest of MassachusettsMassachusetts | $206.19 | $161.17 |
| Baltimore area, MDMaryland | $209.84 | $163.96 |
| Rest of MarylandMaryland | $203.69 | $160.42 |
| Rest of MaineMaine | $195.33 | $156.00 |
| Southern Maine, MEMaine | $199.46 | $157.09 |
| Detroit, MIMichigan | $203.96 | $162.70 |
| Rest of MichiganMichigan | $197.81 | $158.78 |
| MinnesotaMinnesota | $199.74 | $155.75 |
| Metropolitan Kansas City, MOMissouri | $198.44 | $158.30 |
| Metropolitan St. Louis, MOMissouri | $199.33 | $158.63 |
| Rest of MissouriMissouri | $194.00 | $157.15 |
| MississippiMississippi | $192.61 | $155.80 |
| MontanaMontana | $202.06 | $159.31 |
| North CarolinaNorth Carolina | $196.18 | $156.29 |
| North DakotaNorth Dakota | $198.70 | $155.95 |
| NebraskaNebraska | $194.12 | $154.66 |
| New HampshireNew Hampshire | $203.72 | $159.22 |
| Northern New JerseyNew Jersey | $220.41 | $170.81 |
| Rest of New JerseyNew Jersey | $213.47 | $166.78 |
| New MexicoNew Mexico | $198.45 | $159.24 |
| NevadaNevada | $201.18 | $158.39 |
| NYC suburbs and Long Island, NYNew York | $226.69 | $175.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $214.98 | $168.16 |
| Queens, NYNew York | $223.93 | $173.40 |
| Rest of New YorkNew York | $197.52 | $156.90 |
| OhioOhio | $197.12 | $158.09 |
| OklahomaOklahoma | $194.66 | $156.48 |
| Portland, OROregon | $209.22 | $161.72 |
| Rest of OregonOregon | $200.16 | $157.58 |
| Metropolitan Philadelphia, PAPennsylvania | $208.03 | $163.52 |
| Rest of PennsylvaniaPennsylvania | $197.05 | $157.80 |
| Puerto RicoPuerto Rico | $202.62 | $159.40 |
| Rhode IslandRhode Island | $206.00 | $161.83 |
| South CarolinaSouth Carolina | $196.86 | $157.35 |
| South DakotaSouth Dakota | $198.31 | $155.55 |
| TennesseeTennessee | $194.22 | $155.36 |
| Austin, TXTexas | $205.04 | $159.81 |
| Beaumont, TXTexas | $196.50 | $157.60 |
| Brazoria, TXTexas | $201.42 | $159.05 |
| Dallas, TXTexas | $202.29 | $159.71 |
| Fort Worth, TXTexas | $201.79 | $159.63 |
| Galveston, TXTexas | $201.81 | $159.35 |
| Houston, TXTexas | $204.92 | $162.47 |
| Rest of TexasTexas | $198.59 | $158.02 |
| VirginiaVirginia | $199.43 | $157.40 |
| Virgin Islands, VIUnited States Virgin Islands | $202.62 | $159.40 |
| VermontVermont | $198.70 | $156.37 |
| Rest of WashingtonWashington | $205.57 | $160.55 |
| King County, WAWashington | $221.02 | $168.57 |
| WisconsinWisconsin | $195.73 | $154.78 |
| West VirginiaWest Virginia | $197.00 | $159.84 |
| WyomingWyoming | $200.60 | $157.85 |
90792 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $272.73 | 1 |
| AL | $192.43 | 1 |
| AR | $191.22 | 1 |
| AZ | $199.48 | 1 |
| CA | $207.32–$240.12 | 29 |
| CO | $206.18 | 1 |
| CT | $210.47 | 1 |
| DC | $220.45 | 1 |
| DE | $201.51 | 1 |
| FL | $202.40–$213.11 | 3 |
| GA | $196.96–$204.55 | 2 |
| GU | $207.56 | 1 |
| HI | $207.56 | 1 |
| IA | $193.77 | 1 |
| ID | $194.49 | 1 |
| IL | $200.27–$210.69 | 4 |
| IN | $194.96 | 1 |
| KS | $193.74 | 1 |
| KY | $195.22 | 1 |
| LA | $195.23–$199.46 | 2 |
| MA | $206.19–$218.29 | 2 |
| MD | $203.69–$220.45 | 3 |
| ME | $195.33–$199.46 | 2 |
| MI | $197.81–$203.96 | 2 |
| MN | $199.74 | 1 |
| MO | $194.00–$199.33 | 3 |
| MS | $192.61 | 1 |
| MT | $202.06 | 1 |
| NC | $196.18 | 1 |
| ND | $198.70 | 1 |
| NE | $194.12 | 1 |
| NH | $203.72 | 1 |
| NJ | $213.47–$220.41 | 2 |
| NM | $198.45 | 1 |
| NV | $201.18 | 1 |
| NY | $197.52–$226.69 | 5 |
| OH | $197.12 | 1 |
| OK | $194.66 | 1 |
| OR | $200.16–$209.22 | 2 |
| PA | $197.05–$208.03 | 2 |
| PR | $202.62 | 1 |
| RI | $206.00 | 1 |
| SC | $196.86 | 1 |
| SD | $198.31 | 1 |
| TN | $194.22 | 1 |
| TX | $196.50–$205.04 | 8 |
| UT | $198.05 | 1 |
| VA | $199.43–$220.45 | 2 |
| VI | $202.62 | 1 |
| VT | $198.70 | 1 |
| WA | $205.57–$221.02 | 2 |
| WI | $195.73 | 1 |
| WV | $197.00 | 1 |
| WY | $200.60 | 1 |
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
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 Utah 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
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.16 | × 1.000 | 4.1600 |
| Practice expense | 1.72 | × 0.940 | 1.6168 |
| Malpractice | 0.17 | × 0.898 | 0.1527 |
| Total RVUs | 5.9295 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$198.05
Office: (4.16 × 1 + 1.72 × 0.94 + 0.17 × 0.898) × $33.4009 = $198.05
Facility: (4.16 × 1 + 0.44 × 0.94 + 0.17 × 0.898) × $33.4009 = $157.86
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.
How 90792 has changed in Utah
90792 · Office / nonfacility
$198.05
Effective 2026-10-01
The base rate is $13.71 higher than on 2025-10-01, moving from $184.34 to $198.05 (7.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$184.34changed to$198.05
- 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
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$190.01changed to$184.34
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$186.91changed to$190.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$192.06changed to$186.91
- 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
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$195.09changed to$192.06
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.17 changed to 0.18
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$196.48changed to$195.09
- 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.
January 1, 2021
RVU21A
$157.83changed to$196.48
- 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
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$155.92changed to$157.83
- 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
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$151.32changed to$155.92
- 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.
January 1, 2018
RVU18AR1
$147.15changed to$151.32
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.73 changed to 0.84
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$145.33changed to$147.15
- 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
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$146.85changed to$145.33
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.73 changed to 0.70
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$146.12changed to$146.85
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$142.96changed to$146.12
- 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
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$122.91changed to$142.96
- 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
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $122.91
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $198.05 | $157.86 | RVU26D |
| 2026-07-01 | $198.05 | $157.86 | RVU26C |
| 2026-04-01 | $198.05 | $157.86 | RVU26B |
| 2026-01-01 | $198.05 | $157.86 | RVU26A |
| 2025-10-01 | $184.34 | $161.71 | RVU25D |
| 2025-07-01 | $184.34 | $161.71 | RVU25C |
| 2025-04-01 | $184.34 | $161.71 | RVU25B |
| 2025-01-01 | $184.34 | $161.71 | RVU25A |
| 2024-10-01 | $190.01 | $167.03 | RVU24D |
| 2024-07-01 | $190.01 | $167.03 | RVU24C |
| 2024-04-01 | $190.01 | $167.03 | RVU24B |
| 2024-03-09 | $190.01 | $167.03 | RVU24AR |
| 2024-01-01 | $186.91 | $164.31 | RVU24A |
| 2023-10-01 | $192.06 | $169.47 | RVU23D |
| 2023-07-01 | $192.06 | $169.47 | RVU23C |
| 2023-04-01 | $192.06 | $169.47 | RVU23B |
| 2023-01-01 | $192.06 | $169.47 | RVU23A |
| 2022-10-01 | $195.09 | $172.51 | RVU22D |
| 2022-07-01 | $195.09 | $172.51 | RVU22C |
| 2022-04-01 | $195.09 | $172.51 | RVU22B |
| 2022-01-01 | $195.09 | $172.51 | RVU22A |
| 2021-10-01 | $196.48 | $173.39 | RVU21D |
| 2021-07-01 | $196.48 | $173.39 | RVU21C |
| 2021-04-01 | $196.48 | $173.39 | RVU21B |
| 2021-01-01 | $196.48 | $173.39 | RVU21A |
| 2020-10-01 | $157.83 | $141.18 | RVU20D |
| 2020-07-01 | $157.83 | $141.18 | RVU20C |
| 2020-04-01 | $157.83 | $141.18 | RVU20B |
| 2020-01-01 | $157.83 | $141.18 | RVU20A |
| 2019-10-01 | $155.92 | $143.89 | RVU19D |
| 2019-07-01 | $155.92 | $143.89 | RVU19C |
| 2019-04-01 | $155.92 | $143.89 | RVU19B |
| 2019-01-01 | $155.92 | $143.89 | RVU19A |
| 2018-10-01 | $151.32 | $143.65 | RVU18D |
| 2018-07-01 | $151.32 | $143.65 | RVU18C |
| 2018-04-01 | $151.32 | $143.65 | RVU18B |
| 2018-01-01 | $151.32 | $143.65 | RVU18AR1 |
| 2017-10-01 | $147.15 | $143.17 | RVU17D |
| 2017-07-01 | $147.15 | $143.17 | RVU17C |
| 2017-04-01 | $147.15 | $143.17 | RVU17B |
| 2017-01-01 | $147.15 | $143.17 | RVU17A |
| 2016-10-01 | $145.33 | $141.37 | RVU16D |
| 2016-07-01 | $145.33 | $141.37 | RVU16C |
| 2016-04-01 | $145.33 | $141.37 | RVU16B |
| 2016-01-01 | $145.33 | $141.37 | RVU16A |
| 2015-10-01 | $146.85 | $142.87 | RVU15D |
| 2015-07-01 | $146.85 | $142.87 | RVU15C |
| 2015-04-01 | $146.12 | $142.16 | RVU15B |
| 2015-01-01 | $146.12 | $142.16 | RVU15A |
| 2014-10-01 | $142.96 | $139.01 | RVU14D |
| 2014-07-01 | $142.96 | $139.01 | RVU14C |
| 2014-04-01 | $142.96 | $139.01 | RVU14B |
| 2014-01-01 | $142.96 | $139.01 | RVU14A |
| 2013-10-01 | $122.91 | $119.79 | RVU13D |
| 2013-07-01 | $122.91 | $119.79 | RVU13C |
| 2013-04-01 | $122.91 | $119.79 | RVU13B |
| 2013-01-01 | $122.91 | $119.79 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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
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