# CPT 90792

> Medicare paid $157.49 for CPT 90792 in the office (non-facility) setting and $144.52 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 3.2%.

## What it is

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.

## Selected release

- Release: Q2 2019 (2019 B)
- Effective: April 1 – June 30, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $157.49
- Facility national allowed amount: $144.52
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.25
- Office (non-facility) practice expense RVU: 0.96
- Facility practice expense RVU: 0.60
- Malpractice RVU: 0.16
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip
- Parsed file: PPRRVU19_APR.csv, row 15,415
- Canonical page: https://localishealth.com/cpt/90792/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/90792/2019/B
- Last significant update: 2026-08-04T03:08:53+00:00