Now that the code range has been provided, here is some info I could pull from WPS Medicare J5 local coverage determination policy for psychological testing per the CPT codes provided. I would recommend reviewing the LCD in your area for Medicare and medical policy for the private payers that you bill. There limitations to coverage might bring more insight to the availability of being able institute the service at your practice. There was not a lot thru the AMA but I provided what they had.....
96101 PSYCHOLOGICAL TESTING (INCLUDES PSYCHODIAGNOSTIC ASSESSMENT OF EMOTIONALITY, INTELLECTUAL ABILITIES, PERSONALITY AND PSYCHOPATHOLOGY, EG, MMPI, RORSCHACH, WAIS), PER HOUR OF THE PSYCHOLOGIST'S OR PHYSICIAN'S TIME, BOTH FACE-TO-FACE TIME ADMINISTERING TESTS TO THE PATIENT AND TIME INTERPRETING THESE TEST RESULTS AND PREPARING THE REPORT
96102 PSYCHOLOGICAL TESTING (INCLUDES PSYCHODIAGNOSTIC ASSESSMENT OF EMOTIONALITY, INTELLECTUAL ABILITIES, PERSONALITY AND PSYCHOPATHOLOGY, EG, MMPI AND WAIS), WITH QUALIFIED HEALTH CARE PROFESSIONAL INTERPRETATION AND REPORT, ADMINISTERED BY TECHNICIAN, PER HOUR OF TECHNICIAN TIME, FACE-TO-FACE
96103 PSYCHOLOGICAL TESTING (INCLUDES PSYCHODIAGNOSTIC ASSESSMENT OF EMOTIONALITY, INTELLECTUAL ABILITIES, PERSONALITY AND PSYCHOPATHOLOGY, EG, MMPI), ADMINISTERED
Indications and Limitations of Coverage and/or Medical Necessity
Psychological testing
CPT codes 96101, 96102, 96103, 96105, 96111
Psychological tests are used to assess a variety of mental abilities and attributes, including Central Nervous System (CNS) Assessments such as neuro-cognitive, mental status, achievement and ability, personality, and neurological functioning.
Psychological testing requires a clinically trained examiner. All psychological tests should be administered, scored, and interpreted by a trained professional such as a clinical psychologist, psychologist, advanced nurse practitioner with education in this area or a physician assistant who works with a psychiatrist with expertise in the appropriate area. The purpose of psychological testing includes the following:
1. To assist with diagnosis and management following clinical evaluation when a mental illness or psychological abnormality is suspected.
2. To provide a differential diagnosis from a range of neurological/psychological disorders that present with similar constellations of symptoms, e.g., differentiation between pseudodementia and depression.
3. To determine the clinical and functional significance of a brain abnormality.
4. To delineate the specific cognitive basis of functional complaints.
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AMA CPT Changes 2008
96101 Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI, Rorschach, WAIS), per hour of the psychologists or physicians time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
(96101 is also used in those circumstances when additional time is necessary to integrate other sources of clinical data, including previously completed and reported technician- and computer-administered tests)New or Revised Text
(Do not report 96101 for the interpretation and report of 96102, 96103)New or Revised Text
Rationale
Code 96101 was revised and two parenthetical instructions were added to the code to clarify and differentiate appropriate reporting for the services of the psychologist or physician from those testing services performed by the technician or computer-administered tests (96102 and 96103). The revisions emphasize that the services reported with this time-based code are reported appropriately for the physician or psychologist administration of the test to the patient, interpretation of the results, report preparation, and any additional necessary time for integration of the test data acquired from the computer or technician testing or other data into the report. As indicated in the exclusionary parenthetical note, code 96101 should not be reported for interpretation or report of tests administered via technician or computer.
AMA CPT Assistant September 2010 page 9
Medicine: Health and behavior Assessment/Intervention, 96101, 96118 (Q&A)
Question: How do I code for psychological and neuropsychological testing feedback?
Answer: Information derived from psychological and neuropsychological testing is often provided to the patient and other individuals as authorized by the patient. This information includes the results of the evaluation, potential intervention options, and referrals. Time spent providing that feedback as well as receiving any response to that information provided by the patient and/or authorized individuals is coded, using the appropriate number of billing units, with the CPT code for the testing; code 96101 (for psychological testing) or code 96118 (for neuropsychological testing). However, only communication regarding the testing results and feedback would be coded in this manner; assessment and management of other aspects of the patient's care would be coded using other appropriate CPT coding.
AMA CPT Assistant 2011
These guidelines direct the user that "A minimum of 31 minutes must be provided to report any per hour code. Services 96101, 96116, 96118, and 96125 report time as face-to-face time with the patient and the time spent interpreting and preparing the report. (CPT 2012, p 502)"