CPT® Code 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

The CPT® Code 96130 refers to psychological testing evaluation services conducted by a physician or other qualified healthcare professional. This service encompasses a comprehensive assessment that integrates various patient data, interprets standardized test results, and incorporates clinical data. The evaluation process involves clinical decision-making, treatment planning, and the generation of a detailed report. Additionally, it includes interactive feedback provided to the patient, family members, or caregivers when performed. The evaluation may cover a range of psychological aspects, including emotional, interpersonal, and intellectual functioning, as well as thought processes, personality traits, and any existing psychopathology. Standardized tests such as the Minnesota Multiphasic Personality Inventory (MMPI), Rorschach Inkblot Test, and Wechsler Adult Intelligence Scale (WAIS) may be utilized during this assessment. The time-based nature of this code indicates that it is reported for the first hour of evaluation services, with subsequent hours reported using CPT® Code 96131. This structured approach ensures that all relevant data is considered, leading to informed clinical decisions and effective treatment planning.