90791 vs 90792:

Get Paid Right for Your Intakes

Disclaimer: Do not rely on this post alone when making billing decisions. Always verify with your billing team, group policy, or payer-specific rules. Your EMR, contracts, and documentation practices all impact what is allowed and reimbursed. This post is designed to simplify common patterns, not replace formal billing guidance.

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If you are still billing a 99214 for your intake visits, you are most likely leaving $50 to $100 on the table with each eval.

If you are a psych NP and conducting an initial psychiatric evaluation, then billing 90792, is probably the right call.

But what about 90791? What if a patient returns after hospitalization? What if a therapist saw them first? What if you want to bill 99205 instead?

Welcome to billing a psychiatric eval. Let’s make it simple.