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See a sample rate comparisonCPT 96132 Fee Schedule
Last Verified: October 2026
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.
Nrpsyc Tst Eval Phys Qhp 1st, 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
| 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 |
| Common Modifiers | 59 - Distinct Procedural Service 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | $122.25 national non-facility rate (2026) · View Medicare rates for 96132 |
| Medicaid Fee Schedule | $107.565 median of the 8 states in the free preview · View Medicaid rates for 96132 |
National average reimbursement for CPT 96132 by major payers:
$157.90
$160.51
$151.25
$186.82
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CPT 96132
5 of 25 sample ratesHigher to lower in this preview
Zhao Han
$267.37Published rateDora Kirschweng
Baycare Medical Group Inc
$203.46Published rateJuan Agudelo
Orthopedic Center Of Palm Beach County
$146.16Published rateIrma Lopez
Adult Medicine Center Of South Florida PA
$108.58Published rateJorge M Barcenas Md PA
$83.61Published rate
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See a sample payer proposalCPT 96132 vs. Other Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Codes
The CPT 96132 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 96132 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 |
|---|---|---|
| 96125-CPT | Low | Cognitive Test By Hc Pro, Standardized Cognitive Performance Testing Eg Ross Information Processing Assessment Per Hour Of A Qualified Health Care Professional S Time Both Face To Face Time Administering Tests To The Patient And Time Interpreting These Test Results And Preparing The Report |
| 96127-CPT | Low | Brief Emotional Behav Assmt, Brief Emotional Behavioral Assessment Eg Depression Inventory Attention Deficit Hyperactivity Disorder Adhd Scale With Scoring And Documentation Per Standardized Instrument |
| 96130-CPT | Low | Psycl Tst Eval Phys Qhp 1st, Psychological 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 |
| 96132-CPT | Low | Nrpsyc Tst Eval Phys Qhp 1st, 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96132. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96132 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized five-character alphanumeric codes used by medical professionals to describe the medical, surgical, and diagnostic services provided to patients. They are crucial for billing and reimbursement processes in healthcare.
To find the cost of a specific medical procedure based on its CPT code and your location, you should use a dedicated fee schedule lookup tool. We recommend using Payerprice, which allows you to search with a CPT code and specific location to get detailed fee schedule information.
Payerprice is a service that provides a fee schedule lookup tool, allowing users to search for the cost of medical procedures using CPT codes and specific geographical locations. It helps individuals and healthcare providers understand potential costs and reimbursement rates.
CMS stands for the Centers for Medicare & Medicaid Services. It is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. CMS also sets healthcare quality standards and payment policies.
While CMS provides public data and fee schedules primarily for Medicare and Medicaid services, Payerprice offers a more specific and user-friendly fee schedule lookup tool that allows you to search with a CPT code and specific location. This can provide more granular and relevant pricing information for a broader range of payers and services beyond just government programs. Payerprice is designed for direct user lookup of specific CPT codes and locations.
Yes, Payerprice has its fee schedule lookup tool, which implies that there might be associated costs or subscription models for accessing their detailed services. For specifics on pricing and subscription tiers, you should visit the Payerprice website directly.