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CPT® 96116, Under Neurobehavioral Status Examination

The Current Procedural Terminology (CPT®) code 96116 as maintained by American Medical Association, is a medical procedural code under the range - Neurobehavioral Status Examination.

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Summary

A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face clinical assessment as well as the time spent interpreting the results and preparing a report.

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Have a question about CPT Code 96116 ? Start a discussion here
Neuropsychology 96112/3
We are having a dilemma with codes 96112/13. Patient comes in on Day 1 for an initial examination (96116/21). On day 2, developmental testing is done with interpretation and report. If no other testin... [ Read More ]
Can you bill 99392-25 with 96110-59?
Here's the full description for 96110: The provider uses a standardized form to analyze the presence of any developmental disorder, typically during infancy or adolescence, any delay in a child’s de... [ Read More ]
vision therapy - 92065
Hello I have a question for those that do Vision Therapy. I am trying to bill 96116 and 96121 for testing prior to starting vision therapy. Does there need to be more than one unit for these? Thank y... [ Read More ]
NEUROPSYCH MEDICARE LCD DIAGNOSIS ISSUE
Hello all, I am looking for some help with Neuropsych testing codes that are being denied not medically necessary by our MAC which is WPS in Michigan. The LCD doesn't state any specific DX Codes for ... [ Read More ]
96116 AND 96132
[QUOTE="herrera4, post: 464402, member: 89431"] Hi Our physician is billing 96116 and 96132 together and 96132 is denied. im not in coding but I do not see anything where they cant be billed together.... [ Read More ]
96116 AND 96132
Hi Our physician is billing 96116 and 96132 together and 96132 is denied. im not in coding but I do not see anything where they cant be billed together. Our coding department said we should send appea... [ Read More ]
Phq-9 and gad-7
This is a really late comment, but CPT does not indicate 96127 or 96110, to be time-based in 2019 CPT guidelines, see page 714. It is based on unit per instrument, there are other similar codes that A... [ Read More ]
I need Remibursement for few codes?
I need Remibursement for few codes? 96136, 96137, 96138, 96139, 96146, 96125, 96132, 96133, 99483, 96116, 96121, 96125 & 96127 for UHC, BCBS FL & Aetna?... [ Read More ]
96116,AH, 96130,AH, 96136,AH Denial?
Medicare has denied 96116 stating missing/incomplete/invalid HCPCS. Can 96116 be billed with these codes or has something changed? Any help is appreciated as I do not do a lot of of BH billing. Thank... [ Read More ]
96116 and AH modifier
Hi. If you are billing 96116 or 96118 with an E&M, the correct modifier to append if 59. AH modifier is not needed. Hope this helps... [ Read More ]
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