cpt 96130, cpt code 96130, 96130 cpt code

CPT Code 96130 | Psychological Testing Evaluation Services

CPT code 96130 describes the first hour of psychological testing evaluation services performed by a qualified healthcare professional, including the interpretation of standardized test results, clinical decision-making, treatment planning, and interactive feedback to the patient and their family or caregivers.

What Is CPT Code 96130?

CPT 96130 describes psychological testing evaluation services performed by a physician or other qualified healthcare professional.

This service includes integrating patient data, interpreting standardized test results and clinical data, making clinical decisions, developing a treatment plan, and providing interactive feedback to the patient, family members, or caregivers.

96130 covers the first hour of psychological testing, which may include administering standardized tests such as personality tests, aptitude tests, IQ tests, and achievement tests in person.

The provider may also arrive at a diagnosis, recommend a course of treatment based on the test results, and discuss the diagnosis and treatment plan with the patient and their family or caregivers.

CPT code 96130 is often when the provider performs the psychological testing evaluation in person rather than remotely.

Description

The CPT book describes CPT code 96130 as: “Psychological testing evaluation services by a physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour.”

Procedure

The provider explains the tests to the patient, parent, and/or guardian and answers any questions they ask. Then, he administers the tests in writing or orally.

He administers standardized tests, including but not limited to personality tests, aptitude tests, IQ tests, and achievement tests in person.

How To Use CPT 96130

CPT code 96130 covers the first hour of psychological testing, interpretation of results, and preparing a report.

It also includes arriving at a diagnosis and course of treatment. The provider may discuss the test results, diagnosis, and treatment plan with the patient and/or parents or guardians. 

You may use the add-on code CPT 96131 for each additional hour of this same psychological testing service.

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