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See a sample rate comparisonCPT 96139 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.
Psychological Or Neuropsycholo, Psychological Or Neuropsychological Test Administration And Scoring By Technician Two Or More Tests Any Method Each Additional 30 Minutes (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 |
| Common Modifiers | 59 - Distinct Procedural Service 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | $35.41 national non-facility rate (2026) · View Medicare rates for 96139 |
| Medicaid Fee Schedule | $31.105 median of the 8 states in the free preview · View Medicaid rates for 96139 |
National average reimbursement for CPT 96139 by major payers:
$44.41
$45.22
$41.99
$58.78
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CPT 96139
5 of 25 sample ratesHigher to lower in this preview
Carolinas Physicians Network Inc, Cabarrus Family Medicine
Atrium Health North Market Network LLC / Atrium Health Specialty Network Inc / Barnett Family Practice
$91.12Published rateElizabeth Whitham
$43.86Published rateCarolyn Murray
Irving And Associates In Behavioral Health PC
$37.00Published rateOmar Waqhar
$35.24Published rateNikita Taylor-Morrison
Addiction Mental Health Services LLC / Hudson Liberty Medical PC / My Guiding Light Counseling PLLC
$30.92Published rate
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See a sample payer proposalCPT 96139 vs. Other Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Codes
The CPT 96139 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 96139 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 |
|---|---|---|
| 96136-CPT | Low | Psycl Nrpsyc Tst Phy Qhp 1st, Psychological Or Neuropsychological Test Administration And Scoring By Physician Or Other Qualified Health Care Professional Two Or More Tests Any Method First 30 Minutes |
| 96137-CPT | Low | Psycl Nrpsyc Tst Phy Qhp Ea, Psychological Or Neuropsychological Test Administration And Scoring By Physician Or Other Qualified Health Care Professional Two Or More Tests Any Method Each Additional 30 Minutes List Separately In Addition To Code For Primary Procedure |
| 96138-CPT | Low | Psychological Test 30 Mins, Psychological Test With Physician Interpretation And Report. Standardized Tests Can Be Used To Assess Multiple Facets Of Personality Emotion Intellect And Mental Illness. |
| 96139-CPT | Low | Psychological Or Neuropsycholo, Psychological Or Neuropsychological Test Administration And Scoring By Technician Two Or More Tests Any Method Each Additional 30 Minutes (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 96139. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96139 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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