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Wiki 90792 Psych Diagnostic Eval with Medical Services

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dkrysl@compasshn.org

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Does anyone have a more specific description of this code? (regarding guidelines for medical services provided)
 
90791 vs 90792

This is from the NHIC, Corp website for Medicare
Q5. What is the difference between procedure codes 90791 and 90792?
A5. Here is an explanation of the procedure codes, and what to consider when billing them:
• Psychiatric diagnostic evaluations; 90781 includes; Integrated biopsychosocial
assessment including; history, mental status and recommendations. May also include
communication with family, others, and review and ordering of diagnostic studies
• Psychiatric diagnostic evaluations with medical services; 90792 includes; services in
90791 PLUS: Medical assessment, physical exam beyond mental status as appropriate
and may include communications with family, others, prescription medications, and review and ordering of laboratory or other diagnostic studies.

This Medicare Administrative Contractor Jurisdiction 14 A/B MAC had tons of helpful information.

Best of Luck,
Kerry
 
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