For CPT 90792 (Psychiatric diagnostic evaluation with medical services) in Puerto Rico, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $202.62. Source: CMS RVU26D, October 2026 release, non-QP conversion factor 33.4009, effective 2026-10-01. Medicaid FFS stays Coming soon until that state's published file is parsed. UnitedHealthcare medians appear when we have parsed that file. Aetna and Anthem stay Coming soon.
Last updated
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
Puerto Rico | $202.62 | $159.40 | Coming soon | Coming soon | CMS MPFS |
Compare an offered CPT 90792 rate in Puerto Rico 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 2026 Medicare rate for CPT 90792 in Puerto Rico?
For CPT 90792 (Psychiatric diagnostic evaluation with medical services) in Puerto Rico, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $202.62 across 1 CMS locality. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
Is this Puerto Rico CPT 90792 amount a Medicaid MCO or commercial contracted rate?
Medicaid FFS and commercial cells stay Coming soon until a published file is parsed.