How to Report Neuropsychological and Psychological Evaluation: CPT Codes 96130 & 96132

CPT codes 96130 (psychological testing evaluation services) and 96132 (neuropsychological testing evaluation services) are used to report the first hour (31+minutes) of both face-to-face and non-face-to-face activities performed by a provider or qualified healthcare professional. These services include a range of evaluation components such as:

• Reviewing patient records
• Selecting appropriate tests
• Clinical decision-making
• Discussing results, outcomes, and treatment plans with the patient and family member(s) or caregiver(s)

Code	Description	Value	Typically Used For
96130	Psychological testing evaluation services, by provider or QHP, first hour	$117.42	Anxiety disorders Depression PTSD ADHD (without significant psychological comorbidities) Mood disorders Other psychiatric conditions (not involving major neurocognitive impairment)
+ 96131	+ Each additional hour to 96130	$82.81
96132	Neuropsychological testing evaluation services, by provider or QHP, first hour	$125.18	Autism Spectrum Disorder (ASD) ADHD (with neurological complexity and/or psychological comorbidities) Traumatic Brain Injury (TBI) Other neurocognitive or neurodevelopmental disorders
+ 96133	+ Each additional hour	$93.48

*Fees are based on the Medicare National Fee Schedule, Non-Facility, 2025. Actual reimbursement values may vary by demographic location and payer

Using Add-on CPTs 96131 and 96133 for Additional Evaluation Time 

Add-on CPTs 96131 (primary code 96130) and 96133 (primary code 96132) can be added for each additional 31-minutes of evaluation after the first hour.

They may also be used for extended time spent in evaluation work done on subsequent days, as long as they are billed on the same claim as the primary service code.

Choosing Between CPT 96130 and 96132

Deciding between 96130 and 96132 is payer-specific and depends on several factors, including:

• The type of test administered
• The condition being evaluated
• The specialization of the provider

Make sure to review your payer policies to ensure accurate coding and billing. 

It is important to note that Creyos can not determine eligibility for reimbursement and is not responsible for the outcome of any claims. The appropriate selection of CPT codes will depend on additional procedures performed, applicable CCI edits, and other relevant factors.

We recommend contacting your local payer to confirm coverage eligibility and to understand any specific coding or billing guidelines, including provider qualifications, time limitations, and requirements for modifiers.