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See a sample rate comparisonCPT 96146 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 Testing, Psychological Test With Physician Interpretation And Report. Standardized Tests Can Be Used To Assess Multiple Facets Of Personality Emotion Intellect And Mental Illness.
| 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 10 - Telehealth in Patient's Home |
| Common Modifiers | 59 - Distinct Procedural Service 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | $2.34 national non-facility rate (2026) · View Medicare rates for 96146 |
| Medicaid Fee Schedule | $2.18 median of the 8 states in the free preview · View Medicaid rates for 96146 |
National average reimbursement for CPT 96146 by major payers:
$3.69
$2.79
$2.82
$14.24
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CPT 96146
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$13.98Published rateBarbara Twardowski
Advocate Health And Hospitals Corporation
$4.01Published rateAlan Akira
Chicago Bh Hospital LLC
$2.49Published ratePhilip Woerner
Cass County Mental Health Association
$2.36Published rateJohn Millichap
$1.97Published rate
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See a sample payer proposalCPT 96146 vs. Other Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Codes
The CPT 96146 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 96146 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. |
| 96146-CPT | Low | Psychological Testing, Psychological Test With Physician Interpretation And Report. Standardized Tests Can Be Used To Assess Multiple Facets Of Personality Emotion Intellect And Mental Illness. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96146 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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