Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
CareerCenter
Medical Coding Job Board
Log in Register free account

Need help choosing the right code?

Ask CasePilot about procedures, modifiers, bundling, and coding guidance.

Try CasePilot

Official Description

Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List separately in addition to code for primary procedure)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 96137 pertains to the administration and scoring of psychological or neuropsychological tests conducted by a physician or other qualified healthcare professional. This code specifically applies when two or more tests are administered, and it is used to report the additional time spent beyond the initial 30 minutes of testing. Psychological and neuropsychological testing is essential for evaluating cognitive functions, mental health conditions, and potential impairments. Standardized tests such as the Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales, and Wisconsin Card Sorting Test are commonly utilized in these assessments. The process involves a face-to-face encounter where the qualified professional selects the appropriate tests, administers them, and derives both raw and standardized scores. It is important to note that the initial 30 minutes of test administration and scoring is reported using CPT® Code 96136, while each subsequent 30-minute increment is reported with CPT® Code 96137. This structured approach ensures that the time spent on testing is accurately captured for billing and reimbursement purposes, reflecting the complexity and thoroughness of the evaluation process.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The indications for utilizing CPT® Code 96137 include a variety of psychological and neuropsychological assessments aimed at evaluating cognitive and mental functions. These assessments are typically indicated for the following conditions:

  • Assessment of Cognitive Impairment - To evaluate potential cognitive deficits that may arise from various conditions such as traumatic brain injury, stroke, or neurodegenerative diseases.
  • Diagnosis of Mental Health Disorders - To assist in diagnosing mental health conditions, including but not limited to depression, anxiety, and schizophrenia.
  • Pre- and Post-Treatment Evaluation - To assess cognitive and psychological functioning before and after treatment interventions, such as psychotherapy or pharmacotherapy.
  • Educational and Occupational Assessment - To evaluate learning disabilities or cognitive strengths and weaknesses that may impact academic or occupational performance.

2. Procedure

The procedure for administering psychological or neuropsychological tests under CPT® Code 96137 involves several key steps, which are detailed below:

  • 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 needs and presenting concerns. This selection is critical to ensure that the tests administered will provide relevant and useful information regarding the patient's cognitive and psychological status.
  • Step 2: Face-to-Face Administration - The tests are then administered in a face-to-face setting, allowing the professional to observe the patient's responses and behaviors during the testing process. This direct interaction is essential for accurately scoring the tests and understanding the context of the patient's performance.
  • Step 3: Scoring of Tests - After the administration of the tests, the healthcare professional scores the tests, deriving both raw scores and standardized scores. This scoring process is crucial for interpreting the results and understanding the patient's cognitive abilities and potential impairments.
  • Step 4: Documentation of Time - The time spent on administering and scoring the tests is meticulously documented. Each additional 30 minutes of face-to-face time is reported using CPT® Code 96137, following the initial 30 minutes reported with CPT® Code 96136. Accurate documentation is vital for billing and reimbursement purposes.

3. Post-Procedure

Post-procedure care following the administration of psychological or neuropsychological tests typically involves the interpretation of the test results by the qualified healthcare professional. After scoring, the professional will analyze the data to provide a comprehensive evaluation of the patient's cognitive and psychological functioning. This evaluation may lead to recommendations for further treatment, interventions, or referrals to other specialists if necessary. Additionally, a written report summarizing the findings and recommendations is often prepared for the patient and any relevant stakeholders, such as referring physicians or educational institutions. Follow-up appointments may be scheduled to discuss the results and any subsequent steps in the patient's care plan.

Short Descr PSYCL/NRPSYC TST PHY/QHP EA
Medium Descr PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN
Long Descr Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (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 11
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.
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
UC Medicaid level of care 12, as defined by each state
GW Service not related to the hospice patient's terminal condition
TF Intermediate level of care
CR Catastrophe/disaster related
HP Doctoral level
FQ The service was furnished using audio-only communication technology
GC This service has been performed in part by a resident under the direction of a teaching physician
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.
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.
GZ Item or service expected to be denied as not reasonable and necessary
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
HO Masters degree level
GQ Via asynchronous telecommunications system
U7 Medicaid level of care 7, as defined by each state
GA Waiver of liability statement issued as required by payer policy, individual case
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
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
X1 Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care
Q2 Demonstration procedure/service
U6 Medicaid level of care 6, as defined by each state
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)
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
AJ Clinical social worker
GT Via interactive audio and video telecommunication systems
HN Bachelors degree level
25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59.
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.
AM Physician, team member service
GB Claim being re-submitted for payment because it is no longer covered under a global payment demonstration
KX Requirements specified in the medical policy have been met
PC Wrong surgery or other invasive procedure on patient
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
Q5 Service furnished under a reciprocal billing 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
U4 Medicaid level of care 4, as defined by each state
X4 Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
XP Separate practitioner, a service that is distinct because it was performed by a different practitioner
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
Code
Description
Code
Description
Code
Description
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"