When reporting codes 96136 and 96137 , may the time spent performing preservice work (eg, chart review) and postservice work (eg, dictation of report) be included in the total time to determine the number of units reported for psychological or neuropsychological testing administrations and scoring by a physician or qualified healthcare professional? ...
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Article Overview
This article explains a CPT coding question about psychological and neuropsychological testing administration and scoring by a physician or qualified health care professional. It is intended for coders, billers, and clinicians who need to understand how the CPT guidance separates administration/scoring time from related evaluation work, and it notes that payer policy may differ from CPT guidance.
Why This Topic Matters
Correctly distinguishing reportable testing administration/scoring time from other related work affects unit reporting and can influence coding accuracy and reimbursement workflows. The article also highlights that payer-specific coverage and payment rules may vary.
What You Will Learn
- How CPT frames time for psychological and neuropsychological testing administration and scoring
- How related evaluation work is distinguished from administration and scoring services
- Why payer policy may differ from CPT guidance for these services
- What types of guidance and reference materials CPT provides for these codes
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Psychologists
- Neuropsychologists
- Physicians
- Qualified health care professionals
Codes Discussed
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