December 27, 2018

State of Alabama
Press Release: Medicaid

2019 CPT Code Changes for Behavioral Health Providers

PDF Version

 

TO:  All Psychiatrists, Psychologists, LPCs, ALCs, LMFTs, LMSWs, LICSWs and LPTs

  

Effective Dates of Services January 1, 2019 and thereafter, please use the following codes:

 

2018 CPT® Descriptor (Old Code)

2019 CPT® Descriptor (Replacement Codes)

96101

96130 – Psychological testing evaluation services by 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

96131Each additional hour (List separately in addition to code for primary procedure)

96136 – Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes

96137 Each additional 30 minutes (List separately in addition to code for primary procedure)

96102

96130 – Psychological testing evaluation services by 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

96131Each additional hour (List separately in addition to code for primary procedure)

96138 – Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method, first 30 minutes

96139Each additional 30 minutes (List separately in addition to code for primary procedure)

96116

96116  Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgement, e.g., acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour.

96121Each additional hour (List separately in addition to code for primary procedure)

96118

96132 – Neuropsychological testing evaluation services by 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

96133Each additional hour (List separately in

addition to code for primary procedure)

96136 – Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method, first 30 minutes

96137Each additional 30 minutes (List separately in addition to code for primary procedure)

96119

96132 – Neuropsychological testing evaluation services by 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

96133Each additional hour (List separately in

addition to code for primary procedure)

96138 – Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method, first 30 minutes

96139Each additional 30 minutes (List separately in addition to code for primary procedure)

96103 / 96120

96146Psychological or neuropsychological test

administration, with single automated instrument

via electronic platform, with automated result only

90791

90791 – Psychiatric diagnostic evaluation

*No Change for 2019

 

More information may be obtained at:

General Information: https://www.ama-assn.org/press-center/press-releases/ama-releases-2019-cpt-code-set


Specific Information in regards to psychological and neuropsychological testing billing and reimbursement (click on the Psychological and Neuropsychological information tab): https://www.apaservices.org/practice/reimbursement/health-codes




  • For more information, visit http://medicaid.alabama.gov
  • For more state-wide press releases, click here