What is CPT code 96138 and its reimbursement requirements?

Joshua Alzona
Joshua Alzona
  • Updated

CPT code 96138 is used when neuropsychological testing or evaluation services are administered or scored by a technician. This is a 30-minute time-based code.

To qualify as 30 minutes, when billing CPT 96138, the time must be a minimum of 16 minutes, and includes the total time administering and scoring the test. 

Click here for more information on how to bill for this code.

 

Please note that Creyos can not determine your eligibility for reimbursement and does not assume responsibility over the outcome of any claims. The selection of CPT codes noted to report the services provided will depend on other procedures performed, associated CCI edits, and other factors.

Please contact your local payer to determine whether you qualify for these codes, and if any additional coding and coverage guidelines exist, such as which providers can perform the service, limits on billable time, or if the use of a modifier is required or allowed.

Was this article helpful?

0 out of 0 found this helpful

Have more questions? Submit a request

Comments

0 comments

Article is closed for comments.