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Describe a service in plain words, or type a CPT/HCPCS code.

Procedure · Updated Aug 1, 2026

Psychiatric evaluation: CPT code and Medicare rate

The initial diagnostic assessment at the start of mental-health care, reported typically once per episode of treatment.

Also called: psych evaluation, mental health assessment, diagnostic interview, first psychiatry appointment.

Usually billed as

90791 Psychiatric Diagnostic Evaluation
Office (non-facility)
$173.35
Facility
$137.28

National amounts for the Q4 2026 release (October 1 – December 31, 2026), using geographic index values of 1.000. Your local rate differs; the code page has the locality breakdown.

Common questions Copy link

Psychiatric evaluation: which code is it?
90791—Psychiatric Diagnostic Evaluation. The initial diagnostic assessment at the start of mental-health care, reported typically once per episode of treatment.
Psychiatric evaluation: how much does Medicare pay?
Nationally, the Q4 2026 Physician Fee Schedule pays $173.35 in an office (non-facility) setting and $137.28 in a facility setting for 90791. Your local amount differs—the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release the numbers come from.

Open the code page

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All procedures How Medicare pays Office vs. facility rates Check a medical bill

This page maps everyday language to the code a claim normally carries. It's general information about how Medicare prices a service, not coding advice for a specific claim. The correct code always depends on what was actually documented and performed.

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