CPT 96133 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.

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; Each Additional Hour (List Separately In Addition To Code For Primary Procedure)

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 • 22 - On Campus Outpatient Hospital
Common Modifiers	• None • AH • 95 - Telemedicine - audio and video
Complexity Level	Low

National average reimbursement for CPT 96133 by major payers:

$122.06

$121.91

$115.28

$143.01

Preview provider-level rates for...

For billing codeCPT 96133

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 96133
United	96133	$208.25	1972910404 - DAVID BIEBER	363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	96133	$167.38	1255892808 - ASHLEY SHI	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Psychiatry Physician (2084P0800X)
United	96133	$103.90	1114196995 - ANGELA GREEN	910844563	LA	Psychiatry Physician (2084P0800X)
United	96133	$173.83	1568956043 - REID ALLEY	363167726 - (IL) RIVERSIDE HEALTH SYSTEM	PA	Psychiatry Physician (2084P0800X)
United	96133	$98.94	1679526784 - ELTON SMITH	510064318 - BAYHEALTH MEDICAL CENTER INC	IL	Psychiatry Physician (2084P0800X)
United	96133	$98.94	1952521791 - PHILIP WOERNER	237244801 - (IL) CASS COUNTY MENTAL HEALTH ASSOCIATION	IL	Psychiatry Physician (2084P0800X)
United	96133	$98.94	1568440683 - ANJUM BASHIR	204053902 - (IL) DECATUR PSYCHIATRY, LTD.	IL	Psychiatry Physician (2084P0800X)
United	96133	$98.94	1619900024 - MARDJAN FOROUTAN	204951924 - (IL) FOROUTAN & ASSOCIATES SC	IL	Psychiatry Physician (2084P0800X)
United	96133	$98.94	1720288095 - REGINA LOPEZ	370916475 - (IL) CENTERSTONE OF ILLINOIS INC	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	96133	$120.66	1962664789 - JAMIE EVANS	811324691	CA	Psychiatry Physician (2084P0800X)
United	96133	$117.66	1598159709 - RICHARD COCKERILL	363097297 - NORTHWESTERN MEMORIAL HEALTHCARE	IL	Psychiatry Physician (2084P0800X)
United	96133	$98.94	1093005639 - STEVEN MEEK	237098532 - SARAH BUSH LINCOLN HEALTH CENTER	ND	Psychiatry Physician (2084P0800X)
United	96133	$130.33	1093005639 - STEVEN MEEK	911770748 - SANFORD	IL	Psychiatry Physician (2084P0800X)
United	96133	$94.00	1255522611 - MERVIN LEADER	832504107	IL	Psychiatry Physician (2084P0800X)
United	96133	$98.94	1629181037 - DUKE RUKTANONCHAI	933213976	PA	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 96133 vs. Other Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Codes

The CPT 96133 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 96133 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	Standardized Cognitive Performance Testing (Eg Ross Information Processing Assessment) Per Hour Of A Qualified Health Care Professionalstime 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/Behavioral Assessment (Eg Depression Inventory Attention-Deficit/ Hyperactivity Disorder [Adhd] Scale) With Scoringand Documentation Per Standardized Instrument
96130-CPT	Low	Psychological Testing Evaluation Services By Phy- Sician Or Other Qualified Health Care Professionalincluding Integration Of Patient Data Interpre- Tation Of Standardized Test Results And Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member(S) Or Caregiver(S) When Performed; First Hour
96133-CPT	Low	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; Each Additional Hour (List Separately 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 96133. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 96133 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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