CPT^® 96138, Under Psychological and Neuropsychological Test Administration and Scoring

The Current Procedural Terminology (CPT^®) code 96138 as maintained by American Medical Association, is a medical procedural code under the range - Psychological and Neuropsychological Test Administration and Scoring.

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Summary

A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.

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Neuropsychological testing

Our claims for Athem BC BS of VA have started denying neuropsychological testing codes 96132 & 96138 when being billed with an E&M. We are using 59 modifiers on the testing codes and no modifier on t... [ 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 ]

Neuropsych

A mini-mental is not a 96138, neurological and neuropsych testing. It is included in the E&M code, and is not separately billable. [B]Q[/B] How should I code a Mini Mental Status Exam (MMSE) perf... [ Read More ]

Neuropsych

Hello Does anyone know is I can use a nurse to perform a mini-mental 96138? Also, can the see the patient and then the patient be seen for an E&M by the provider?... [ Read More ]

Neuropsych Tech

Does a neuropsych tech have to be certified? Wondering what credentials you need to have when billing 96138 and 96139? Can this be performed by a NP or PA?... [ Read More ]

Technician

Can anyone tell me what the requirments/credentials are needed for a technician when billing 96138 and 96139? Wondering if a NP or PA can perform this testing?... [ Read More ]

96136/96137 confusion

Hi all, When i billed all codes together like 96132,96133,96136,96137,96138,96139,got CCI edit on 96138 added mod 96138-59. Now medicare error on 96139-----mutually exclusive to 96136,96137. Thanks i... [ Read More ]

Medicare Rejection 96132 96133 96138

On both: Denial code "CO-50 - not medically necessary, Remark Code: "M25 - Info furnished does not substantiate this level of service". These are listed under the one claim where 96132, 96133 and 961... [ Read More ]

Medicare Rejection 96132 96133 96138

I have an odd scenario, patient with Prim Dx of Vascular Dementia received services for Neuropsych Testing, coded: 1-Unit of 96138 (for initial 30 min) + 8-units of 96139 for additional 4 hours of tes... [ 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 ]

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