AAPC - Back to school
Results 1 to 3 of 3

Thread: What to bill?

  1. #1

    Default What to bill?

    AAPC: Back to School
    If a 5 year old patient comes in for psych testing to determine if he had ADD/ADHD and the following occrus, what do I bill?

    Patient comes in and takes the CPT test on computer. Dr walks him through what to do, explains and shows him how to do it on the 2 min practise test, and then sits in the room quietly just to keep an eye on him while he takes the test. Dr does not talk to him, does not coach. Simply sits there since a child can't be left unattended.

    What do I bill for the testing? 96101 or 96103?

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    96103 seems most appropriate.

    However, this situation begs the question, with supervision of the child required, can we use that time in our total time and report 96101?

    My primary problem with reporting 96101 is that the "intent" of the code is to capture exams that require administration--as opposed to those computer-based. CPT Assistant seems to touch on this briefly in the November, 2006 issue. Based on language from it and the fact that your provider did not interact beyond the basic "practice test", I'd say the safe bet is 96103.

    I hope this helps.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3


    Thank you so much for your fast response.

Similar Threads

  1. employee flu shot - to bill or not to bill
    By arrana in forum Compliance General Discussion
    Replies: 0
    Last Post: 10-11-2013, 12:31 PM
  2. To bill a Pyloroplasty or not to bill.....
    By HILLIC in forum General Surgery
    Replies: 1
    Last Post: 07-15-2013, 11:20 AM
  3. 95971/95972 To Bill Or Not To Bill???
    By AndieL in forum Anesthesia
    Replies: 1
    Last Post: 04-18-2012, 09:20 PM
  4. Bill or not to bill that's the question!!??
    By Love Coding! in forum E/M
    Replies: 3
    Last Post: 03-13-2012, 05:11 PM
  5. how to bill or not bill for volunteer doctor
    By aces78rp in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-29-2007, 07:18 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.