Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
Neuropsychological testing evaluation services, as defined by CPT® Code 96133, involve a comprehensive assessment conducted by a physician or other qualified healthcare professional. This evaluation encompasses the integration of patient data, interpretation of standardized test results, and clinical data, which are essential for effective clinical decision-making and treatment planning. The process also includes the preparation of a detailed report and the provision of interactive feedback to the patient, their family members, or caregivers. The evaluation may assess various cognitive and emotional domains, such as intellectual and executive functions, language and communication abilities, attention, memory, visual-spatial skills, sensorimotor functioning, personality traits, emotional characteristics, and adaptive behavior. These assessments utilize standardized tests to ensure accuracy and reliability in the evaluation process. The services are billed on an hourly basis, with CPT® Code 96133 specifically designated for each additional hour of evaluation services provided after the initial hour, which is reported using CPT® Code 96132. This structured approach ensures that all aspects of the patient's cognitive and emotional health are thoroughly evaluated and documented, facilitating informed treatment decisions and ongoing patient care.
© Copyright 2026 Coding Ahead. All rights reserved.
Neuropsychological testing evaluation services are indicated for a variety of clinical scenarios where a comprehensive assessment of cognitive and emotional functioning is necessary. These indications may include, but are not limited to, the following:
The procedure for neuropsychological testing evaluation services involves several key steps that ensure a thorough assessment of the patient's cognitive and emotional health. Each step is critical to the overall evaluation process.
Post-procedure care following neuropsychological testing evaluation services typically involves follow-up appointments to discuss the evaluation results and the proposed treatment plan. Patients may be advised to engage in specific therapeutic interventions based on the findings of the evaluation. Additionally, ongoing monitoring of the patient's cognitive and emotional status may be recommended to assess the effectiveness of the treatment plan and make necessary adjustments. It is important for healthcare professionals to maintain open communication with the patient and their support system to ensure that the treatment goals are met and that the patient receives the necessary support throughout their recovery process.
| Short Descr | NRPSYC TST EVAL PHYS/QHP EA | Medium Descr | NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR | Long Descr | 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; each additional hour (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | 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 | Items and Services Packaged into APC Rates | Berenson-Eggers TOS (BETOS) | none | MUE | 7 |
| 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | AH | Clinical psychologist | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GC | This service has been performed in part by a resident under the direction of a teaching physician | FQ | The service was furnished using audio-only communication technology | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | CR | Catastrophe/disaster related | 93 | Synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system : synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located away at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that is sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | GA | Waiver of liability statement issued as required by payer policy, individual case | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GT | Via interactive audio and video telecommunication systems | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | U7 | Medicaid level of care 7, as defined by each state | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | QJ | Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | AF | Specialty physician | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 96 | Habilitative services: when a service or procedure that may be either habilitative or rehabilitative in nature is provided for habilitative purposes, the physician or other qualified health care professional may add modifier 96 to the service or procedure code to indicate that the service or procedure provided was a habilitative service. habilitative services help an individual learn skills and functioning for daily living that the individual has not yet developed, and then keep and/or improve those learned skills. habilitative services also help an individual keep, learn, or improve skills and functioning for daily living. | AJ | Clinical social worker | FR | The supervising practitioner was present through two-way, audio/video communication technology | GB | Claim being re-submitted for payment because it is no longer covered under a global payment demonstration | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | HE | Mental health program | HL | Intern | HN | Bachelors degree level | HO | Masters degree level | HP | Doctoral level | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | PO | Excepted service provided at an off-campus, outpatient, provider-based department of a hospital | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | UC | Medicaid level of care 12, as defined by each state | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2019-01-01 | Added | Added |
Get instant expert-level medical coding assistance.