Official Louisiana Medicaid FFS for CPT 90792 (Psychiatric diagnostic evaluation with medical services) is $159.57 from LDH Professional, effective 2025-07-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $195.23 to $199.46 across 2 CMS localities. Source: CMS RVU26D, October 2026 release and the official Louisiana fee schedule. Not an MCO or commercial rate.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. Louisiana Medicaid FFS effective 2025-07-01 (LDH Professional).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
New Orleans | $199.46 | $159.23 | $159.57 | Coming soon | CMS MPFS |
Rest Of Louisiana | $195.23 | $157.39 | $159.57 | Coming soon | CMS MPFS |
Compare an offered CPT 90792 rate in Louisiana on Contract Checker v1.3 (code and state prefilled). When UnitedHealthcare publishes rates for this code and state, the tool also compares your offer to the UHC median and the middle 80% of UHC rates, alongside Medicare and Medicaid FFS. Aetna and Anthem stay Coming soon.
Questions
What is the Louisiana Medicaid FFS amount for CPT 90792?
Official Louisiana Medicaid FFS is $159.57 from LDH Professional, effective 2025-07-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90792 in Louisiana?
For CPT 90792 (Psychiatric diagnostic evaluation with medical services) in Louisiana, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $195.23 to $199.46 across 2 CMS localities. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does Louisiana Medicaid FFS compare to Medicare for CPT 90792?
Louisiana Medicaid FFS is $159.57; Medicare non-facility PFS is $195.23 to $199.46. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://www.lamedicaid.com/provweb1/fee_schedules/ProServLabXRayRadASC_Fee.htm.
Where is the official Louisiana Medicaid FFS source for CPT 90792?
Louisiana Department of Health / Bureau of Health Services Financing: Louisiana Medicaid Professional Services Fee Schedule, current 07/01/2026 (file run 2026-09-04). Source page: https://www.lamedicaid.com/provweb1/fee_schedules/ProServLabXRayRadASC_Fee.htm. File: https://www.lamedicaid.com/provweb1/fee_schedules/feesched.xlsx. Last verified 2026-09-10.
Is this Louisiana CPT 90792 amount a Medicaid MCO or commercial contracted rate?
The Medicaid FFS cell is the official LDH Professional amount $159.57. That is fee-for-service, not an MCO rate. Commercial cells remain Coming soon until a parsed in-network file is loaded.