How do you bill insurance for psychological testing?
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.
What is CPT code for psychological testing?
CPT Code 96130 is used for psychological testing evaluation services by a qualified health care professional, which includes the integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report and interactive feedback to the patient.
What does psychological testing include?
A psychological assessment can include numerous components such as norm-referenced psychological tests, informal tests and surveys, interview information, school or medical records, medical evaluation and observational data. A psychologist determines what information to use based on the specific questions being asked.
What are examples of psychological testing?
Here are the major nine types of Psychological tests:
- Personality Tests.
- Achievement Tests.
- Attitude Tests.
- Aptitude Tests.
- Emotional Intelligence Tests.
- Intelligence Tests.
- Neuropsychological Tests.
- Projective Tests.
Who can bill for 96132?
Who can bill for CPT code 96132? A variety of qualified healthcare providers can bill for CPT 96132 after administering neuropsychological assessments. There is a high-level requirement for a clinical psychologist or a physician, such as a psychiatrist or neurologist, to supervise diagnostic tests.
What is the difference between CPT code 90791 and 90792?
Comparing 90791 and 90792 Whereas both codes are used for psychiatric diagnostic evaluations, 90791 can’t include medical services and 90792 can. Medical services may consist of any medical activity, such as writing prescriptions, performing physical exams, and modifying psychiatric treatment.
How often can 96132 be billed?
For each episode of test interpretation, CPT code 96132 would be billed for the first hour of activity (31-60 min). Any additional time associated with the test interpretation (i.e., report writing, patient feedback) would be billed using the add-on code 96133 for each additional hour.
Does 96132 need a modifier?
It has recently come to our attention that effective April 1, 2019, practitioners billing for CPT® codes 96138 (neurocognitive test administration) and 96132 (test interpretation, decision-making) should now use a -59 modifier on the procedure codes instead of adding a -25 modifier on the evaluation and management (E/M …
When is neuropsychological or psychological testing medically necessary?
Aetna considers neuropsychological (NPT) or psychological testing (PT) medically necessary when needed to enhance psychiatric or psychotherapeutic treatment outcomes after a detailed diagnostic evaluation if:
Who can interpret a psychological test?
All psychological tests should be administered, scored, and interpreted by a qualified professional, such as a licensed psychologist or psychiatrist, with expertise in the appropriate area. Psychological tests are only one element of a psychological assessment. They should never be used as the sole basis for a diagnosis.
When does Aetna consider neuropsychological testing medically necessary?
Monitoring of the progression of cognitive impairment secondary to neurological disorders. Aetna considers neuropsychological (NPT) or psychological testing (PT) medically necessary when needed to enhance psychiatric or psychotherapeutic treatment outcomes after a detailed diagnostic evaluation if:
What is a neuropsychological assessment test?
Psychological tests assess a range of mental abilities and attributes, including achievement and ability, personality, and neurological functioning. Psychological testing, including neuropsychological assessment, utilizes a set of standardized tests, whose validity and reliability have been established empirically.