{
    "code": "90792",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90792/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/90792/2017/A",
    "description": "The first full mental-health assessment of a patient, carried out by a clinician who can also handle the medical side of care. It covers the psychiatric history, current symptoms, mental status exam, and a working diagnosis and treatment plan, plus medical elements such as reviewing physical health, ordering or interpreting labs, and deciding on medication. That medical component is what separates this from the version of the evaluation done by a therapist who does not prescribe. It is an intake assessment, not an ongoing therapy or medication-management session.",
    "answer": {
        "question": "How much did Medicare pay for CPT 90792 in Q1 2017?",
        "text": "Medicare paid $148.22 for CPT 90792 in the office (non-facility) setting and $143.91 in a facility under the Q1 2017 Physician Fee Schedule, effective January 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.2% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "A",
        "label": "Q1 2017",
        "effective": "January 1 – March 31, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 148.22,
        "facility": 143.91,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.25,
        "practice_expense_non_facility": 0.73,
        "practice_expense_facility": 0.61,
        "malpractice": 0.15
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q1 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/A",
        "file": "PPRRVU17_V1219.csv",
        "row": 14955,
        "sha256": "fda64dc114c31e9002889c5847fcdcdc1c1ee8a1d8b26765b55e1f5da6e61bab"
    },
    "modified_at": "2026-08-04T03:07:28+00:00"
}