Since the code is more often used in a routine outpatient appointment, it typically doesn't require prior authorization. However, that still depends on the insurance provider's rules and the patient's specific plan.

CPT Code 90791: Psychiatric diagnostic evaluation
Learn more about CPT code 90791, its requirements, and guidelines for more accurate coding and billing.
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Frequently asked questions
In a year, according to Medicare and Medicade, the code can only be billed once per client per provider.
Yes, the 90791 CPT code can be billed for telehealth.
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