CPT® Code 96118

Deleted

1. Indications

Neuropsychological testing using CPT® Code 96118 is indicated for a variety of conditions and symptoms that may affect cognitive function. The following are explicitly provided indications for this procedure:

• Cognitive Impairment - Assessment of cognitive deficits that may arise from neurological conditions, psychiatric disorders, or developmental issues.
• Memory Disorders - Evaluation of memory function in patients experiencing memory loss or difficulties, which may be indicative of conditions such as dementia or traumatic brain injury.
• Attention Deficits - Testing to identify attention-related issues, including Attention Deficit Hyperactivity Disorder (ADHD) or other attentional disorders.
• Learning Disabilities - Assessment for specific learning disabilities that impact academic performance and cognitive processing.
• Post-Concussion Evaluation - Evaluation of cognitive function following a concussion or other head injury to determine the extent of impairment and recovery.

2. Procedure

The procedure for neuropsychological testing as described by CPT® Code 96118 involves several key steps that ensure a thorough evaluation of the patient's cognitive abilities. Each step is critical to the overall assessment process:

• Step 1: Selection of Tests - The psychologist or physician begins by identifying and selecting the appropriate neuropsychological tests based on the patient's specific symptoms and clinical history. This selection process is crucial to ensure that the tests administered will provide relevant and accurate information regarding the patient's cognitive function.
• Step 2: Administration of Tests - During a face-to-face encounter, the clinician administers the selected tests to the patient. This step involves direct interaction, where the clinician guides the patient through the testing process, ensuring that instructions are understood and followed correctly.
• Step 3: Scoring and Analysis - After the tests are completed, the clinician derives raw and standardized scores from the test results. This scoring process is essential for interpreting the patient's performance and identifying any cognitive deficits.
• Step 4: Integration of Data - The clinician reviews and integrates additional test data, which may include results from computer-based assessments or data provided by technicians. This comprehensive analysis helps to form a complete picture of the patient's cognitive abilities.
• Step 5: Report Preparation - Finally, the clinician prepares a detailed written report that summarizes the findings from the testing. This report includes interpretations of the results, recommendations for further evaluation or treatment, and any relevant observations made during the testing process.

3. Post-Procedure

Post-procedure care following neuropsychological testing with CPT® Code 96118 typically involves a review of the findings with the patient. The clinician may discuss the results of the tests, explain any identified cognitive impairments, and provide recommendations for further evaluation or interventions if necessary. Patients may also receive guidance on coping strategies or referrals to other specialists for additional support. The recovery process may vary depending on the underlying conditions identified during testing, and ongoing monitoring of cognitive function may be recommended to track any changes over time.