CPT 96112 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Developmental 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)

Key Fact	Detail
Service Type	• Medicine Services and Procedures • Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing)
Common Place of Service	• 11 - Office • 99 - Other POS
Common Modifiers	• None • 59 - Distinct Procedural Service • GO - Services delivered under an outpatient occupational therapy plan of care
Complexity Level	Low

National average reimbursement for CPT 96112 by major payers:

$156.52

$152.17

$153.18

$213.20

Preview provider-level rates for...

For billing codeCPT 96112

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 96112
United	96112	$247.36	1225211600 - JOHN MILLICHAP	460319070 - MONUMENT HEALTH RAPID CITY HOSPITAL INC	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	96112	$99.80	1740201425 - JOSEPH DIVINCENZO	853384814	IL	Psychiatry Physician (2084P0800X)
United	96112	$133.08	1629046735 - AQEEL KHAN	204454589 - (IL) ADVANCE PSYCHIATRY COUNSELING INC	IL	Psychiatry Physician (2084P0800X)
United	96112	$124.11	1962507954 - ROSELIN ARUNACHALAM	371140016 - CARLE HEALTH CARE INCORPORATED	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	96112	$236.41	1508922964 - COLLEEN BUHRFIEND	911780120 - (IL) RUSH UNIVERSITY MEDICAL CENTER	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	96112	$264.08	1508937186 - SIGITA PLIOPLYS	364187449	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	96112	$784.96	1871912683 - LAUREN SCHUMACHER	943281673	IL	Psychiatry Physician (2084P0800X)
United	96112	$138.44	1477997674 - OLGA KOZLOVA	813062689 - (IL) ADULT AND PEDIATRIC NEUROLOGY	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	96112	$230.46	1104082734 - JADA JOHNSON	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Psychiatry Physician (2084P0800X)
United	96112	$206.83	1316142383 - DIANE MISCH	376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS	IL	Psychiatry Physician (2084P0800X)
United	96112	$144.88	1437438249 - KAPIL AEDMA	430957840 - SWOPE HEALTH SERVICES	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	96112	$434.82	1386969079 - ADAM WALLACE	391678306 - AURORA MEDICAL GROUP INC	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	96112	$238.88	1699713347 - PAULA GEWARGES	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	96112	$206.83	1760923916 - LUKE PETRY	376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS	IL	Psychiatry Physician (2084P0800X)
United	96112	$220.36	1376063370 - ABBY FREDRICKSON	364015560 - LOYOLA UNIVERSITY MEDICAL CENTER	MN	Psychiatry Physician (2084P0800X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 96112 vs. Other Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Codes

The CPT 96112 code is part of the Medicine Services and Procedures services used for Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing). It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 96112 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
96105-CPT	Low	Assessment 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
96110-CPT	Low	Developmental Screening (Eg Developmental Mile- Stone Survey Speech And Language Delay Screen) With Scoring And Documentation Per Standardized Instrument (Desc Revised 01/01/15)
96112-CPT	Low	Developmental 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)
96113-CPT	Low	Developmental 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; Each Additional 30 Minutes (Listseparately In Addition To Code For Primary Procedure)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 96112 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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