Ask BrainCheck:Who can bill the assessments?

The following questions were submitted during our webinar, Billing & Coding Update: 2019 Psychological and Neuropsychological Testing Codes, on June 4, 2019.

1. Which professionals can bill for Current Procedural Terminology (CPT®) code 96132 (for test interpretation and feedback)?

The official description of CPT code 96132 states:

“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; first hour”

The definition of qualified health care professional (QHP) may vary by payer, particularly commercial carriers and Managed Medicare or Managed Medicaid plans.

Physicians and clinical psychologists are routinely covered, as well as mid-level practitioners in many instances. It is good practice to ask for Local Coverage Determinations (LCDs) or Medical Policy documentation from your primary payers to find the information most relevant to your practice.

2. Can licensed professional counselors or clinical social workers be classified as “Technicians”?

We have not seen specific language regarding the background for technicians. BrainCheck does offer substantial orientation and training in test administration in the onboarding process to bring technicians up to competence.

Watch the webinar

Register to watch the on-demand webinar, “Billing & Coding Update: 2019 Psychological and Neuropsychological Testing Codes.”

Our billing experts provide a midyear update on the CPT codes and modifiers for psychological and neuropsychological testing services, including what’s new with the modifiers for CPT codes 96138 and 96132, how to meet the documentation and time requirements for CPT 96132 and more.

Use the timestamps below to fast-forward to these questions in the webinar recording above:

    • 00:06:57: Which professionals can bill for CPT code 96132 (for test interpretation and feedback)?
    • 00:12:19: Can licensed professional counselors or clinical social workers be classified as “Technicians”?

Questions?

Please let us know of your questions, comments, and experiences in using neurocognitive testing at info@braincheck.com.


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About the author

Robert Cuyler, PhD


Robert Cuyler is a clinical psychologist with decades of clinical, management and consulting experience. He is a Clinical Advisor at BrainCheck and the chief clinical officer of Palo Alto Health Sciences. He previously served as the CEO of JSA Health Telepsychiatry and clinical advisor to MDLive/Breakthrough Behavioral. Dr. Cuyler received his Ph.D. in psychology from Louisiana State University and his postdoctoral fellowship from the Menninger Foundation.

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