Reply to How to calculate potential cost of neuro-psych or ed-psych evaluation and whether it's worth changing insurance

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Reply to "How to calculate potential cost of neuro-psych or ed-psych evaluation and whether it's worth changing insurance"

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[quote=Anonymous]These are the codes I was given by cnmc as possible codes to run by my insurer:

Description of CPT codes most commonly used:
96116 and 96121: Neurobehavioral Status Examination (1st hour/ each additional hour)
90791 Psychological Diagnostic Interview (each encounter)
96130 and 96131: Psychological evaluation services, incl. record review, interpretation and report writing time (1st hour/ ea. add’l hr)
96132 and 96133: Neuropsychological evaluation services, incl. record review, interpretation and report writing time (1st hour/ ea. add’l hr)
96136 and 96137: Psychological or Neuropsychological test administration and scoring (2 or more tests) by psychologist (1st 30min/ ea. add’l 30 min)
96138 and 96139: Test administration and scoring (2 or more tests) by technician (1st 30 min/ ea. add’l 30 min)
90846 Feedback on results and treatment recommendations (family psychotherapy) without patient present (50 min).
90847 Feedback on results and treatment recommendations (family psychotherapy) with patient present (50 min).
96154 Feedback on results and recommendations to the family with patient (ea. 15 min)
96155 Feedback on results and recommendations to the family without the patient (ea. 15 min)
Academic Achievement Testing: assessment of reading, writing, and/or math skills; academic test administration, scoring, interpretation and reporting with school recommendations (based on time and number of measures required).
Social-Emotional Learning Education Plan: Detailed recommendations for school plan to support social and emotional learning based on the neuropsychological/ psychological evaluation findings (based on time required).
School Meeting attendance and/ or IEP development, for educational purposes (per hour).[/quote]

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