CMS releases FAQ section on psychological and neurological testing

CMS recently released a Frequently Asked Questions (FAQs) page on its Web site regarding psychological and neuropsychological testing reported using CPT codes 96101 - 96125 , Central Nervous System Assessments/Tests. These FAQs were created to provide clarification regarding the appropriate reporting and payment policies of these testing codes for Medicare. The set of eight question and answers can be found at the CMS Web site using the following link: https://questions.cms.hhs.gov/cgibin/cmshhs.cfg/php/enduser/std_alp.php?p_sid=HCq8v6j&p_lva=9174&p_li=&p_accessibility=0&p_page=1&p_cv=&p_pv=3.605&p_prods=8%2C57%2C605&p_cats=&p_hidden_prods=&prod_lvl1=8&prod_lvl2=57&prod_lvl3=605&p_search_text=&p_new_search=1&p_search_type=answers.search_nl. ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes a CMS Frequently Asked Questions page focused on psychological and neuropsychological testing services reported under CPT. It is relevant to coders, billers, compliance staff, and clinicians who work with Medicare claims for central nervous system assessment/testing services. The piece indicates that CMS issued clarification on reporting and payment policy and points readers to the agency’s FAQ resource for the underlying guidance.

Why This Topic Matters

Updates from CMS can affect how testing services are documented, reported, and paid under Medicare, so coders and compliance teams need to know when new clarification is available.

What You Will Learn

  • What CMS FAQ guidance was released for psychological and neuropsychological testing
  • Which broad testing services the FAQ page addresses
  • Why the CMS update may be relevant to Medicare reporting and payment policy
  • Where the clarification is published by CMS

Who Should Read This

  • Medical coders
  • Medical billers
  • Compliance staff
  • Neuropsychology practices
  • Psychology practices
  • Medicare providers

Code Ranges Discussed


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