Clinical Coverage Policy (CCP) 1-H, Telemedicine and Telepsychiatry

<p>System changes have been completed to allow non-psychiatric Nurse Practitioners and Physician Assistants to receive reimbursement for CPT codes 90791 &ndash; Psychiatric Diagnostic Evaluation and 90792 &ndash; Psychiatric Diagnostic Evaluation with Medical Servicess when provided via telemedicine/telepsychiatry.</p>

Author: NC Medicaid, (919) 855-4320

System changes have been completed to allow non-psychiatric Nurse Practitioners and Physician Assistants to receive reimbursement for the following CPT codes when provided via telemedicine/telepsychiatry:

• 90791 – Psychiatric Diagnostic Evaluation
• 90792 – Psychiatric Diagnostic Evaluation with Medical Services

Nurse Practitioners and Physician Assistants enrolled in the Medicaid or NC Health Choice program who provide this service may bill Medicaid or NC Health Choice.

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