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Mini Mental Status Exam

  1. #1
    Seacoast- Dover New Hampshire
    Default Mini Mental Status Exam
    Medical Coding Books
    Has anyone heard of this? MD thinks that there is a code for this. I say no that it is part of the office visit. Need a link to prove it. Thanks
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    North Carolina
    Q: Can I use 96116 to report a MMSE?

    A: A mini-mental status exam can be part of the Neurobehavioral testing, though a mini-mental status exam by itself is not reportable using 96116. Mini-mental status exams, when done without additional Neurobehavioral testing, are considered part of the evaluation and management service and should be reported with the appropriate E&M code. When the MMSE is done as part of more extensive Neurobehavioral testing as described above, you may report 96116.

  3. Default
    MMSE was also addressed in a CPT Assistant in 2000; in which it indicated that an MMSE would not be reported with the Neuro-behavioral status exam and that MMSE is included in E&M.

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

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