CPT code 90792: Psychiatric evaluation, with medical services2026 Medicare rate & RVUs in West Virginia

In West Virginia, Medicare pays $197.00 for 90792 in the office and $159.84 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.

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.

How West Virginia 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. West Virginia pays $197.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

90792 rates by state

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

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.

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.

Codes related to 90792

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

How 90792 has changed in West Virginia

Price 90792 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

• Accoville
• Addison (Webster Springs)
• Adrian
• Albright
• Alderson
• Alum Creek
• Amherstdale
• Anawalt

Browse all communities in West Virginia

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

Open CMS sourceHow we calculate rates