CPT^® 96131, Under Psychological and Neuropsychological Testing Evaluation Services

The Current Procedural Terminology (CPT^®) code 96131 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. Report this code for each additional hour of psychological testing with the primary code (96130) for the first hour of service.

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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 ]

Pediatric Psyd Coding and billing for Mental/Behavioral Health

We just added our first psychologist to our practice and I'll be doing the coding and billing of her claims. We're an outpatient, independent clinic specializing in pediatric care in Wisconsin. The pr... [ Read More ]

96130 & 96131

[QUOTE="PaulaLB, post: 473002, member: 468127"] I have a question in mental health billing 96130 & 96131. I know that 96131 is the add on code and I was told by an insurance rep that they must be bil... [ Read More ]

96130 & 96131

I have a question in mental health billing 96130 & 96131. I know that 96131 is the add on code and I was told by an insurance rep that they must be billed for the same date of service. The office I b... [ Read More ]

96130/96131 over multiple dates

Is there documentation that I can present to our department that has the rules on billing all units of 96130/96131 96136/96137 on one date of service? My understanding is that the provider keeps track... [ Read More ]

Phq-9 and gad-7

This is a really late comment, but CPT does not indicate 96127 or 96110, to be time-based in 2019 CPT guidelines, see page 714. It is based on unit per instrument, there are other similar codes that A... [ Read More ]

Follow up for 96133/96132

[QUOTE="mccormickb1, post: 457381, member: 164907"] You do not bill 96130/96131 until the evaluation is completed, which would be the date the family returned for the results and recommendation (AKA f... [ Read More ]

LCSW in a private Pain Management Practice.

Any updated information for 2019 regarding same issue above? I know CPT code has changed for 96103 to 96130-96131. Are LCSWs still unable to bill an E/M service?... [ Read More ]

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