Guidance on CPT codes, technical requirements and more for successfully providing neuropsychology services via telehealth. As of Jan. 1, 2019, practitioners will need to use the new billing codes for Medicare and all insurance carriers.

Neuropsychological Evaluation services include interpretation of test results and clinical data, integration of patient data, clinical decision making, treatment planning, report generation, and interactive feedback to the patient, family member(s) or caregiver(s).

Neuropsychological testing involves administration of standard-ized tests of cognitive and emotional functioning by a psychol-ogist or QHP or appropriately-trained technician (also known as psychometrists) under the direction and supervision of the psychologist or QHP.

Discover insurance psychological and neuropsych testing reimbursement rates in 2025, what psych testing CPT codes to bill, and what they pay!

Medicare Part B coverage of psychological tests and neuropsychological tests is authorized under section 1861(s)(3) of the Social Security Act. Payment for psychological and neuropsychological tests is authorized under section 1842(b)(2)(A) of the Social Security Act.

Q: Do Current Procedural Terminology (CPT) codes for psychological and neuropsychological tests include tests performed by technicians and computers? A: Yes. The CPT codes, 96138, 96139 and 96146 that fall under the CPT “Psychological and Neuropsychological Tests code range, 96105-96146, describe tests performed by technicians and computers.

2024年9月10日 · CMS released questions and answers on psychological and neuropsychological tests that are billed under the CPT code range 96101-96125.

2019年10月31日 · For test administration and scoring for psychological/neuropsychological testing use codes 96136, 96137, 96138 and 96139. For automated testing and results for …

2024年1月15日 · Neuropsychological assessment is essential to value-based care delivery, offering diagnostic accuracy and contributing to high-quality care. However, these assessments can be time-intensive and resource-demanding, with challenges such as lengthy testing and documentation processes or extended patient wait times.

Providers should now use CPT code 96130 to bill for the first hour of psychological testing evaluation services and 96131 for each additional hour. Neuropsychological evaluation services should now be billed using CPT code 96132 for the first hour and 96133 for each additional hour.