{
    "code": "90792",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90792/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/90792/2020/D",
    "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 Q4 2020?",
        "text": "Medicare paid $160.96 for CPT 90792 in the office (non-facility) setting and $142.91 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 2.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 160.96,
        "facility": 142.91,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.25,
        "practice_expense_non_facility": 1.1,
        "practice_expense_facility": 0.6,
        "malpractice": 0.11
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 15764,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}