Official Nevada Medicaid FFS for CPT 90792 (Psychiatric diagnostic evaluation with medical services) is $130.50 from DHCFP PT 20 Physician, effective 2024-01-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $201.18. Source: CMS RVU26D, October 2026 release and the official Nevada fee schedule. Not an MCO or commercial rate.
Last updated
Last verified 2026-09-10. Medicare effective 2026-10-01. Nevada Medicaid FFS effective 2024-01-01 (DHCFP PT 20 Physician).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
Nevada** | $201.18 | $158.39 | $130.50 | Coming soon | CMS MPFS |
Compare an offered CPT 90792 rate in Nevada 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 Nevada Medicaid FFS amount for CPT 90792?
Official Nevada Medicaid FFS is $130.50 from DHCFP PT 20 Physician, effective 2024-01-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90792 in Nevada?
For CPT 90792 (Psychiatric diagnostic evaluation with medical services) in Nevada, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $201.18 across 1 CMS locality. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does Nevada Medicaid FFS compare to Medicare for CPT 90792?
Nevada Medicaid FFS is $130.50; Medicare non-facility PFS is $201.18. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://www.nevadamedicaid.nv.gov/resources/rates/fee-schedules/.
Where is the official Nevada Medicaid FFS source for CPT 90792?
Nevada Division of Health Care Financing and Policy: Nevada Medicaid Provider Type 20 Physician (MD/DO) fee schedule, data as of 07/2026. Source page: https://www.nevadamedicaid.nv.gov/resources/rates/fee-schedules/. File: https://www.nevadamedicaid.nv.gov/siteassets/content/resources/rates/pt-20-fee-schedule-072026.xlsx. Last verified 2026-09-10.
Is this Nevada CPT 90792 amount a Medicaid MCO or commercial contracted rate?
The Medicaid FFS cell is the official DHCFP PT 20 Physician amount $130.50. That is fee-for-service, not an MCO rate. Commercial cells remain Coming soon until a parsed in-network file is loaded.