CPT 90791

Psychiatric Diagnostic Evaluation

Comprehensive psychiatric diagnostic evaluation.

60-90 minutes
3.00 work RVU
5 requirements

Documentation Requirements

  1. 1Chief complaint and history of present illness
  2. 2Psychiatric history
  3. 3Mental status examination
  4. 4Diagnostic formulation
  5. 5Treatment recommendations

Billing Tips

  • •Use for initial psychiatric evaluations
  • •Not time-based
  • •Document comprehensive MSE

Frequently Asked Questions

What must be included in a 90791?

A complete 90791 requires: HPI, psychiatric history, substance use history, mental status examination, risk assessment, diagnostic formulation, and treatment plan.

Automate Psych Eval Documentation

Scribeable captures all required elements for CPT 90791 from your patient conversation. Generate compliant notes in seconds.

Common Diagnoses

F32.9F41.9F90.9

Related Specialties

psychiatry

Related Procedures

CPT 908341.50 work RVU

Psychotherapy 45 min

Individual psychotherapy session, approximately 45 minutes.

CPT 90791: Psychiatric Diagnostic Evaluation

Comprehensive psychiatric diagnostic evaluation.

Documentation Requirements

  1. Chief complaint and history of present illness
  2. Psychiatric history
  3. Mental status examination
  4. Diagnostic formulation
  5. Treatment recommendations

Billing Tips

  • Use for initial psychiatric evaluations
  • Not time-based
  • Document comprehensive MSE

Frequently Asked Questions

What must be included in a 90791?

A complete 90791 requires: HPI, psychiatric history, substance use history, mental status examination, risk assessment, diagnostic formulation, and treatment plan.

Related Procedures

Specialties

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Clinical Content

Resources

Getting Started