"CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association."

What is the CPT code for MMSE (Mental health status assessment)?


The 1997 version of Medicare's Documentation Guidelines for Evaluation and Management Services indicates that “brief assessment of mental status including:

orientation to time, place and person;

recent and remote memory;

mood and affect (e.g., depression, anxiety, agitation)” as one of the exam elements for examination.

The physician administration, interpretation and written report associated with the MMSE is included in the E/M code for the patient encounter and cannot be billed separately. Do not report CPT 96116 that describes "Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities), per hour of the psychologist’s or physician’s time, both face-to-face time with the patient and time interpreting test results and preparing the report" for a MMSE.


Reference: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNEdWebGuide/Downloads/97Docguidelines.pdf


Popular Posts