CPT^® 96130, Under Psychological and Neuropsychological Testing Evaluation Services

The Current Procedural Terminology (CPT^®) code 96130 as maintained by American Medical Association, is a medical procedural code under the range - Psychological and Neuropsychological Testing Evaluation Services.

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Summary

The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a report. This code covers the first hour of this service and includes discussion of results and treatment plan with the patient and family member(s) or caregiver(s), when performed.

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Billing for interpretation of Vanderbilt results

Can I bill 96130 for the provider reviewing and interpreting Vanderbilt findings on a separate day from an appointment? Parents and teachers are directed to a website to fill out forms, and we receiv... [ Read More ]

CPT 96130 -- Provider types allowed to bill

Hello, I have bills from a provider, billed by the MD, for service code 96130, but the services are being performed by PT's an ACU's. In the description below, what provider types are considered to ... [ Read More ]

Pre-op Bariatric Psych evals

[QUOTE="magdalena.iordan@yahoo.com, post: 452729, member: 165825"] [B]96130[/B] Hello fellow coders, I was reading through the posts on this topic and I am in the same boat as you guys when it come... [ Read More ]

Billing for 90791 on multiple days for Optum Ins

Hello, I am fairly new to Behavioral health billing and need to know how we can bill for an ADOS. We have been billing the 90791, along with the 96130, 31, 36, 37, 38, 39 and 96146. We bill the 907... [ Read More ]

Can you bill 99392-25 with 96110-59?

Here's the full description for 96110: The provider uses a standardized form to analyze the presence of any developmental disorder, typically during infancy or adolescence, any delay in a child’s de... [ Read More ]

96130 & 96131

F41.1, Generalized anxiety disorder; F81.0, Specific reading disorder. 96130, psychological testing services by physician, first hour 96131, psychological testing services by physician, each addition... [ Read More ]

96130 & 96131

my claim with CPT 96130, 96131,96136,96137 was denied by Blue Cross for ICD-10 F41.1 and F81.0. Please advise? Thank you... [ Read More ]

Therapy Billing

[QUOTE="SharonCollachi, post: 481171, member: 654943"] Generally, each patient will have an individual evaluation to determine if they are a good fit for group therapy. If your provider is an MD, th... [ Read More ]

Therapy Billing

Generally, each patient will have an individual evaluation to determine if they are a good fit for group therapy. If your provider is an MD, they will bill 90792 for an evaluation. If they are NOT ... [ Read More ]

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