CPT® Code 96131

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; each additional hour (List separately in addition to code for primary procedure)

The CPT® Code 96131 refers to psychological testing evaluation services conducted by a physician or other qualified healthcare professional. This code encompasses a comprehensive process that includes the integration of patient data, interpretation of standardized test results, and clinical data. It also involves clinical decision-making, treatment planning, and the generation of a report. Additionally, this code covers the provision of interactive feedback to the patient, family members, or caregivers when performed. The services are billed for each additional hour spent on these activities, and it is important to note that this code is used in conjunction with the primary procedure code, which is CPT® Code 96130, designated for the first hour of service. Psychological testing evaluation may involve a psychodiagnostic assessment that evaluates 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 evaluation. The time-based nature of this code reflects the physician's or qualified healthcare professional's time spent interpreting test results, analyzing raw and standardized scores, preparing reports, and planning treatment, all while incorporating clinical decision-making. Furthermore, the evaluation services may include providing interactive feedback to the patient and their support system, ensuring a comprehensive understanding of the assessment outcomes.