Medicaid Billing CPT Codes: Psychological Evaluation



Medicaid Billing CPT Codes: Psychological Evaluation

| |DESCRIPTION |Special Rules |Session Time /Units |

|CPT CODE | | | |

|90801 | |Psychotherapy includes continuing psychiatric |1 per session |

| |PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION |evaluation; CPT codes 90801 and 90802 are not | |

| | |separately reportable with Individual Psychotherapy | |

| | |codes. | |

|90802 | |'Psychotherapy includes continuing psychiatric |1 per session |

| |INTERACTIVE PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION USING PLAY EQUIPMENT, |evaluation; CPT codes 90801 and 90802 are not | |

| |PHYSICAL DEVICES, LANGUAGE INTERPRETER, OR OTHER MECHANISMS OF COMMUNICATION |separately reportable with individual Psychotherapy | |

| | |codes. | |

|96101 |PSYCHOLOGICAL TESTING (INCLUDES PSYCHODIAGNOSTIC ASSESSMENT OF EMOTIONALITY, | |60 minutes |

| |INTELLECTUAL ABILITIES, PERSONALITY AND PSYCHOPATHOLOGY, EG, MMPI, RORSCHACH, WAIS), | | |

| |PER HOUR OF THE PSYCHOLOGISTS OR PHYSICIAN'S TIME, BOTH FACE-TO-FACE TIME | | |

| |ADMINISTERING TESTS TO THE PATIENT AND TIME INTERPRETING THESE TEST RESULTS AND | | |

| |PREPARING THE REPORT | | |

|96105 |ASSESSMENT OF APHASIA (INCLUDES ASSESSMENT OF EXPRESSIVE AND RECEPTIVE SPEECH AND |There is no published rule regarding time necessary to |60 minutes |

| |LANGUAGE FUNCTION, LANGUAGE COMPREHENSION, SPEECH PRODUCTION ABILTTY, READING, |qualify for subsequent one-hour codes. | |

| |SPELLING, WRITING, EG, BY BOSTON DIAGNOSTIC APHASIA EXAMINATION) WITH INTERPRETATION | | |

| |AND REPORT, PER HOUR | | |

|96110 |DEVELOPMENTAL TESTING; LIMITED (EG, DEVELOPMENTAL SCREENING TEST II, EARLY LANGUAGE | |1 per session |

| |MILESTONE SCREEN), WITH INTERPRETATION AND REPORT | | |

|96111 |DEVELOPMENTAL TESTING; EXTENDED (INCLUDES ASSESSMENT OF MOTOR, LANGUAGE, SOCIAL, |There is no published rule regarding time necessary to |1 per session |

| |ADAPTIVE AND/OR COGNITIVE FUNCTIONING BY STANDARDIZED DEVELOPMENTAL INSTRUMENTS) WITH |qualify for subsequent one-hour codes. | |

| |INTERPRETATION AND REPORT | | |

|96116 |NEUROBEHAVIORAL STATUS EXAM (CLINICAL ASSESSMENT OF THINKING, REASONING AND JUDGMENT, |CPT code 96116 should never be reported with |60 minutes |

| |EG, ACQUIRED KNOWLEDGE, ATTENTION, LANGUAGE, MEMORY, PLANNING AND PROBLEM SOLVING, AND|psychiatric diagnostic examinations (CPT codes 90801 or| |

| |VISUAL SPATIAL ABILITIES), PER HOUR OF THE PSYCHOLOGIST'S OR PHYSICIAN'S TIME, BOTH |90802) | |

| |FACE-TO-FACE TIME WITH THE PATIENT AND TIME INTERPRETING TEST RESULTS AND PREPARING | | |

| |THE REPORT | | |

|96118 |NEUROPSYCHOLOGICAL TESTING (EG, HALSTEAD-REITAN NEUROPSYCHOLOGICAL BATTERY, WECHSLER | |60 minutes |

| |MEMORY SCALES AND WISCONSIN CARD SORTING TEST), PER HOUR OF THE PSYCHOLOGIST'S OR | | |

| |PHYSICIAN'S TIME, BOTH FACE-TO-FACE TIME ADMINISTERING TESTS TO THE PATIENT AND TIME | | |

| |INTERPRETING THESE TEST RESULTS AND PREPARING THE REPORT | | |

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