New Patient Psychiatric Evaluations
99204 – Comprehensive Psychiatric Evaluation (45–59 minutes)
In-person or Telehealth | Children, Adolescents, & Adults
This service is a comprehensive initial psychiatric evaluation for new patients. It includes a detailed assessment of current symptoms, psychiatric history, medical history, family and social history, trauma exposure, substance use, and functional impairments. A full diagnostic formulation is completed using DSM-5-TR criteria.
For children and adolescents, collateral information from parents, caregivers, or schools may be incorporated as clinically appropriate.
The visit concludes with:
- Diagnostic impressions
- Initial treatment recommendations
- Discussion of therapy modalities and/or medication options
- Education regarding risks, benefits, and alternatives
This level is typically used for moderate-complexity presentations.