Last updated: March 2026CMS official rates · Free to use
Medicare Fee Schedule Lookup
Find 2026 Medicare reimbursement rates and national payment amounts for any CPT, HCPCS, or MS-DRG code. Physician Fee Schedule, Drug ASP, MS-DRG weights, Anesthesia, and Clinical Lab — sourced directly from CMS.
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96116
20252026
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Physician Fee Schedule·96116·National·2025, 2026
Current non-facility rate
$94.19▲0.0%
Facility: $72.15
Recent trend
Code description
Neurobehavioral Status Exam (Clinical Assessment Of Thinking Reasoning And Judgment [Eg Acquiredknowledge Attention Language Memory Planning And Problem Solving And Visual Spatial Abilities]By Physician Or Other Qualified Health Care Professional Both Face-To-Face Time With The Patient And Time Interpreting Test Results And Preparing The Report; First Hour (Desc Rvsd 1/1/19)
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 96116 | 4/2026 | N/A | 00 | 00000 | $94.19 | $72.15 | Neurobehavioral Status Exam (Clinical Assessment Of Thinking Reasoning And Judgment [Eg Acquiredknowledge Attention Language Memory Planning And Problem Solving And Visual Spatial Abilities]By Physician Or Other Qualified Health Care Professional Both Face-To-Face Time With The Patient And Time Interpreting Test Results And Preparing The Report; First Hour (Desc Rvsd 1/1/19) |
| 96116 | 1/2026 | N/A | 00 | 00000 | $94.19 | $72.15 | Neurobehavioral Status Exam (Clinical Assessment Of Thinking Reasoning And Judgment [Eg Acquiredknowledge Attention Language Memory Planning And Problem Solving And Visual Spatial Abilities]By Physician Or Other Qualified Health Care Professional Both Face-To-Face Time With The Patient And Time Interpreting Test Results And Preparing The Report; First Hour (Desc Rvsd 1/1/19) |
| 96116 | 10/2025 | N/A | 00 | 00000 | $88.63 | $76.34 | Neurobehavioral Status Exam (Clinical Assessment Of Thinking Reasoning And Judgment [Eg Acquiredknowledge Attention Language Memory Planning And Problem Solving And Visual Spatial Abilities]By Physician Or Other Qualified Health Care Professional Both Face-To-Face Time With The Patient And Time Interpreting Test Results And Preparing The Report; First Hour (Desc Rvsd 1/1/19) |
| 96116 | 7/2025 | N/A | 00 | 00000 | $88.63 | $76.34 | Neurobehavioral Status Exam (Clinical Assessment Of Thinking Reasoning And Judgment [Eg Acquiredknowledge Attention Language Memory Planning And Problem Solving And Visual Spatial Abilities]By Physician Or Other Qualified Health Care Professional Both Face-To-Face Time With The Patient And Time Interpreting Test Results And Preparing The Report; First Hour (Desc Rvsd 1/1/19) |
| 96116 | 4/2025 | N/A | 00 | 00000 | $88.63 | $76.34 | Neurobehavioral Status Exam (Clinical Assessment Of Thinking Reasoning And Judgment [Eg Acquiredknowledge Attention Language Memory Planning And Problem Solving And Visual Spatial Abilities]By Physician Or Other Qualified Health Care Professional Both Face-To-Face Time With The Patient And Time Interpreting Test Results And Preparing The Report; First Hour (Desc Rvsd 1/1/19) |
| 96116 | 1/2025 | N/A | 00 | 00000 | $88.63 | $76.34 | Neurobehavioral Status Exam (Clinical Assessment Of Thinking Reasoning And Judgment [Eg Acquiredknowledge Attention Language Memory Planning And Problem Solving And Visual Spatial Abilities]By Physician Or Other Qualified Health Care Professional Both Face-To-Face Time With The Patient And Time Interpreting Test Results And Preparing The Report; First Hour (Desc Rvsd 1/1/19) |
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Related codes
96105Assessment Of Aphasia (Includes Assessment Of Expressive And Receptive Speech And Language Function, Language Comprehension, Speech Production Ability, Reading, Spelling, Writing, Eg, By Boston Diagnostic Aphasia Examination) With Interpretation And Report, Per Hou
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$12.3696112Developmental Test Administration (Including Assessment Of Fine And/Or Gross Motor Language Cognitive Level Social Memory And/Or Executive Functions By Standardized Developmental Instru- Ments When Performed) By Physician Or Other Qua- Lified Health Care Professional With Interpreta- Tion And Report; First Hour Separately In Addition To Code For Primary Procedur)
$125.25Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
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