How to Report Screening Services: CPT Codes 96127 & 96110

CPT codes 96127 and 96110 are used to report standardized screening tools that assess cognitive, behavioral, emotional, or developmental concerns. These codes are typically used when a patient (or caregiver) completes a validated questionnaire that gathers subjective data.

Code	Description	Value	Example Condition Uses
96127	Brief emotional/behavioral assessment	$4.53	Depression and anxiety screening, ADHD (e.g., PHQ-9, GAD-7, ASRS, VADRS, SWAN)
96110	Developmental screening	$11.32	Autism (e.g., AQ)

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

Billing Notes

• Screening codes are billed per questionnaire administered.

• Do not report screening codes on the same date of service as standardized cognitive or neuropsychological testing (e.g., CPT 96136, 96132), as they may be considered duplicative or overlapping. When formal testing is performed, the time and content of screening activities are generally considered inclusive of the comprehensive testing service.

• Be mindful of the Medically Unlikely Edit (MUE), which typically limits CPT 96127 to 3 units per patient per date of service. Exceeding this limit may result in automatic claim denials unless appropriately justified and supported by medical necessity documentation.

• Ensure documentation supports each screening tool administered, including the purpose of screening, patient responses, and clinical interpretation.

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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.