CPT^® 90791, Under Psychiatric Diagnostic Evaluation Services

The Current Procedural Terminology (CPT^®) code 90791 as maintained by American Medical Association, is a medical procedural code under the range - Psychiatric Diagnostic Evaluation Services.

Additional/Related Information

Tabs

Summary

In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2025 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 90791 ? Start a discussion here

Telehealth codes for monthly program delivery chemical dependency hcfa1500 per diem telehealth/telemedicine

What procedure codes are used for when billing for a Mental Health or Chemical dependency program similar to how IOP is set up, but [B]delivered as telehealth [/B]with none of the visits in person. Th... [ Read More ]

Query regarding LCD

CPT codes: 90785, 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847 and 90853. ICD-10-CM Codes that Support Medical Necessity Article ID A57520 Article Title Bi... [ Read More ]

99205

Hi Laura Wilson CPT 99205 cannot be used with CPT 90792 or 90791 or crisis CPT codes per CPT manual. Psych docs should use CPT 90792 -90791 first time with mental health dx codes. There are differe... [ Read More ]

90791 and 90853

[QUOTE="laurenmowens@yahoo.com, post: 514934, member: 410398"] Thank you! Do you also know if a 90791 needs to be done prior to a 90853? [/QUOTE] Yes - 90791 is an diagnostic test . It is required bef... [ Read More ]

90791 and 90853

[QUOTE="sahni.vani@gmail.com, post: 514922, member: 284745"] Group Therapy involves Psychotherapy & also Code 90837 and 90853, may be used a NCCI-associated modifier to override the edit under appro... [ Read More ]

90791 and 90853

Does a 90837 need to be billed prior to a 90853?... [ Read More ]

Modifiers for mental health

[QUOTE="liziebustillos, post: 504248, member: 681079"] Hey everyone, I have done billing and coding for every single type of medical office but I am at a loss when it comes to mental health for some r... [ Read More ]

Siblings Evaluation Together

I have a counselor who saw siblings at the same time to do her evaluation. What procedure code should she use? 90791 or 90847?... [ Read More ]

90791 & 99406-99407

[QUOTE="lizziemcd, post: 513704, member: 710447"] When billing Ohio Medicaid for smoking cessation (99406/99407) and a assessment (90791) is the 99406/99407 added on to the 90791 or billed on a separa... [ Read More ]

90791 & 99406-99407

When billing Ohio Medicaid for smoking cessation (99406/99407) and a assessment (90791) is the 99406/99407 added on to the 90791 or billed on a separate claim (1500 form)? Thanks... [ Read More ]

View All