Beginning with dates of service on or after December 1, 2020, Empire BlueCross BlueShield will apply a frequency limit to CPT codes 90791 (Psychiatric diagnostic evaluation) and 90792 (Psychiatric diagnostic evaluation with medical services) with the following limitations:
  • 1 per 365 days, per member, per provider NPI for members over 21
  • 2 per 365 days, per member, per provider NPI for members under age 21

 

For more information about this policy, visit the Reimbursement Policy page at empireblue.com/provider.

 

633-0920-PN-NY

 



Featured In:
September 2020 Empire Provider News