![]() ![]() ![]() Psychological or neuropsychological testing includes selection, administration and scoring of the tests, directly by the psychologist, neuropsychologist, physician or other qualified health care professional, by a technician under the clinician's direct supervision, by computerized test administration, or via some combination of these three approaches. References to providers throughout this policy include non-physicians, such as clinical psychologists, independent psychologist, nurse practitioners, clinical nurse specialists and physician assistants when the services performed are within the scope of their clinical practice/education, licensed and authorized under the state law.Ī minimum of 31 minutes must be provided to report any per hour code. The testing of cognitive processes, visual motor responses and abstractive abilities is accomplished by the combination of several types of testing procedures. The CPT Codes discussed in this Billing and Coding Article are used to report the services provided during testing of the cognitive function of the central nervous system. Diagnostic procedures that have no impact on a patient’s plan of care or have no effect on treatment are not medically necessary. Psychological and Neuropsychological Testing are diagnostic procedures that must be used as an important tool in making specific diagnoses or prognoses to aid in treatment planning and to address questions regarding treatment goals, efficacy, and patient disposition. The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the associated LCD 元4646 Psychological and Neuropsychological Testing. §150 Clinical Social Worker (CSW) Services §120.1 Limitations for Assistant-at-Surgery Services Furnished by Nurse Practitioners and Clinical Nurse Specialist §120 Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS) Services Payment Methodology §210 Clinical Nurse Specialist (CNS) ServicesĬMS Publication 100-03: Medicare National Coverage Determinations (NCD)Manual, Chapter 1- Coverage Determination, Part 1, Sections 10-80:ĬMS Publication 100-04: Medicare Claims Processing Manual, Chapter 12 - Physicians/Nonphysician Practitioners: §170 Clinical Social Worker (CSW) Services §80.2 Psychological and Neuropsychological Tests MLN Matters Number SE0441 “Incident to” Services.ĬMS Publication 100-02: Medicare Benefit Policy Manual, Chapter 15 - Covered Medical and Other Health Services: Social Security Act 1862(a)(7) does not extend coverage to screening procedures.Ĥ10.76 Clinical nurse specialists’ services Social Security Act 1861(s) Medical And Other Health Services Not endorsed by the AHA or any of its affiliates. Presented in the material do not necessarily represent the views of the AHA. Preparation of this material, or the analysis of information provided in the material. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness orĪccuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Resale and/or to be used in any product or publication creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions Īnd/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is onlyĪuthorized with an express license from the American Hospital Association. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. AHA copyrighted materials including the UB‐04 codes andĭescriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may beĬopied without the express written consent of the AHA. All rights reserved.Ĭopyright © 2023, the American Hospital Association, Chicago, Illinois. The AMA assumes no liability for data contained or not contained herein.Ĭurrent Dental Terminology © 2022 American Dental Association. The AMA does not directly or indirectly practice medicine or dispense medical services. ![]() Applicable FARS/HHSARS apply.įee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not Wisconsin Physicians Service Insurance CorporationĪMA CPT / ADA CDT / AHA NUBC Copyright StatementĬPT codes, descriptions and other data only are copyright 2022 American Medical Association. ![]()
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