tci Part B Insider - 2013 Issue 44

Reader Question: Don't Expect Separate Hospital Reimbursement For 96103

Question: My question is in regards to CPT® code 96103 and a hospital site of service. When a provider sees a patient and bills CPT® 96103 in a hospital-based practice, is there an additional code the hospital bills for the service or do they just bill a higher level E/M code? Answer: The CPT® code 96103 (Psychological testing [includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, e.g., MMPI], administered by a computer, with qualified health care professional interpretation and report) includes both the professional component (i.e. the interpretation and report) and the technical component (i...

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