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Billing and Coding Guidelines Psychological and ...

Billing and Coding Guidelines Psychological and Neuropsychological Testing L34646 See (CMS Publication 100-02; Medicare Benefit Policy Manual, Chapter 15- Covered Medical and Other Health Services: Psychological and Neuropsychological Tests Medicare Part B coverage of Psychological tests and neuropsychological tests is authorized under section 1861(s)(3) of the Social Security Act. Payment for Psychological and neuropsychological tests is authorized under section 1842(b)(2)(A) of the Social Security Act. The payment amounts for the new Psychological and neuropsychological tests (CPT codes 96102, 96103, 96119 and 96120) that are effective January 1, 2006, and are billed for tests administered by a technician or a computer reflect a site of service payment differential for the facility and non-facility settings. Additionally, there is no authorization for payment for diagnostic tests when performed on an incident to basis.)

CPT Codes for Diagnostic Psychological and Neuropsychological Tests The range of CPT codes used to report psychological and neuropsychological tests is 96101-96120. CPT codes 96101, 96102, 96103, 96105, and 96111 are appropriate for use when billing for psychological tests. CPT codes 96116, 96118, 96119 and 96120 are appropriate for use when

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