CPT® Code 96120

Code deleted, see 96132, 96133, 96136, 96137, 96138, 96139, 96146

Official Description

Neuropsychological testing (eg, Wisconsin Card Sorting Test), administered by a computer, with qualified health care professional interpretation and report

Common Language Description

The CPT® Code 96120 refers to neuropsychological testing that is administered by a computer, with the interpretation and report provided by a qualified healthcare professional. This type of testing is essential for evaluating brain function and identifying any impairments that may be present. The procedure typically involves the use of standardized tests, such as the Wisconsin Card Sorting Test, which is designed to assess various cognitive functions, including memory, attention, and problem-solving abilities. The testing process is time-based, meaning that the code is reported for each hour of face-to-face time spent by the healthcare professional in administering the tests, interpreting the results, integrating the data obtained, and preparing a comprehensive report. During the testing, a psychologist, neuropsychologist, neurologist, or another qualified physician selects the appropriate tests to be administered based on the patient's specific needs. The tests are conducted in a face-to-face setting, where the healthcare professional oversees the administration of the tests, ensuring that the raw and standardized scores are accurately derived and analyzed. Additionally, any supplementary test data obtained from computer-based assessments or technician-administered tests is reviewed and integrated into the overall evaluation. The culmination of this process is a detailed written report that outlines the findings and interpretations of the testing results. It is important to note that if the neuropsychological testing is performed by a technician, a different code (CPT® Code 96119) is used, which accounts for the technician's time rather than the qualified healthcare professional's interpretation and report.

1. Indications

The neuropsychological testing represented by CPT® Code 96120 is indicated for various conditions and symptoms that require assessment of cognitive function and brain impairment. The following are explicitly provided indications for this procedure:

Evaluation of Cognitive Impairment This testing is performed to assess cognitive deficits that may arise from neurological conditions, traumatic brain injuries, or other medical issues affecting brain function.
Assessment of Memory Disorders The procedure is indicated for patients exhibiting memory problems, allowing for a detailed evaluation of memory capabilities and potential disorders.
Diagnosis of Neurodevelopmental Disorders Neuropsychological testing can aid in diagnosing conditions such as ADHD, autism spectrum disorders, and learning disabilities.
Monitoring of Cognitive Changes This testing is useful for tracking cognitive changes over time, particularly in patients with progressive neurological diseases such as dementia or Alzheimer's disease.

2. Procedure

The procedure for neuropsychological testing under CPT® Code 96120 involves several key steps that ensure a comprehensive evaluation of the patient's cognitive abilities. The following procedural steps are outlined:

Step 1: Selection of Tests The qualified healthcare professional, such as a psychologist or neuropsychologist, begins by selecting the appropriate standardized tests based on the patient's specific cognitive concerns and clinical history. This selection process is critical to ensure that the tests administered are relevant and effective for the evaluation.
Step 2: Administration of Tests The selected tests are then administered in a face-to-face encounter, where the healthcare professional oversees the testing process. The tests may include various cognitive assessments, such as the Wisconsin Card Sorting Test, which evaluates executive function and problem-solving skills.
Step 3: Data Collection and Analysis During the administration of the tests, raw scores are collected, and standardized scores are derived. The healthcare professional analyzes these scores to gain insights into the patient's cognitive functioning and identify any areas of impairment.
Step 4: Integration of Additional Data In addition to the scores obtained from the tests, any supplementary data from computer-based assessments or technician-administered tests is reviewed. This integration of data provides a more comprehensive understanding of the patient's cognitive profile.
Step 5: Preparation of Report Finally, the qualified healthcare professional prepares a detailed written report that summarizes the findings from the testing. This report includes interpretations of the results, recommendations for further evaluation or intervention, and any relevant clinical insights.

3. Post-Procedure

After the neuropsychological testing is completed, the patient may receive feedback regarding the results during a follow-up appointment. The healthcare professional will discuss the findings outlined in the written report, including any identified cognitive impairments and recommendations for further assessment or treatment. It is essential for the patient to understand the implications of the test results and how they may relate to their overall health and functioning. Additionally, ongoing monitoring may be recommended, especially for patients with progressive cognitive conditions, to track changes over time and adjust treatment plans as necessary.

Short Descr	NEUROPSYCH TST ADMIN W/COMP
Medium Descr	NEUROPSYCHOLOG TESTING COMPUTER W/PROF I&R
Long Descr	Neuropsychological testing (eg, Wisconsin Card Sorting Test), administered by a computer, with qualified health care professional interpretation and report
Status Code	Active Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	04 - Physician supervision policy does not apply when procedure is furnished by a qualified, independent psychologist...
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Codes That May Be Paid Through a Composite APC
Type of Service (TOS)	5 - Diagnostic Laboratory
Berenson-Eggers TOS (BETOS)	T2D - Other tests - other
MUE	Not applicable/unspecified.
CCS Clinical Classification	218 - Psychological and psychiatric evaluation and therapy