CPT® Code Set - 96150 - in category: Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient
Code Information
96150 - CPT® Code in category: Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient
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Top Modifiers - Most Often Billed
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*
Note: Medicare may or may NOT reimburse you for this code.
The fees provided below are based on values established by CMS/Medicare.
Please check with your local Medicare contact on whether this code is eligible for reimbursement.
Facility (Hospital, etc.)
Medicare vs. My Fee Evaluation
Modifier
Medicare Allowed
150%
200%
My Fee
(none)
$21.62
$32.44
$43.25
(your fee)
Calculated fee values are available.
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UCR Fees (UCR, WC, Medicare)
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View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts.
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UCR Fees
RVUs - Relative Value Units
Calculated for National Unadjusted (00000)
*
Note: Medicare may or may NOT reimburse you for this code.
The fees provided below are based on values established by CMS/Medicare.
Please check with your local Medicare contact on whether this code is eligible for reimbursement.
Facility 0.6 (Hospital, etc.)
RVU Components (by modifier)
Modifier
Work
Practice Expense
Malpractice Expense
Total
(none)
0.5
0.08
0.02
0.6
Calculated fee values are available.
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Practitioner Work Component: 0.5
Practitioner Labor
Pre-Service
Intra-Service
Post-Service
Total Time*
##
##
##
## min
* Total Time may be greater than the displayed components.
Work RVU Components (by modifier)
Modifier
National Unadjusted Work RVU
Work GPCI
Adjusted Work RVU
(none)
##.##
##.##
0.5
Practice Expense: 0.08
Clinical Labor - Direct Expense
Staff
Staff Rate
Pre Time
Intra Time
Post Time
Total Time*
$0.00 / min
## min
## min
## min
## min
* Total Time may be greater than the displayed components.
Equipment - Direct Expense
Item
Purchase Price
Expected Life
Total Time
$##.##
## years
## min
Supplies - Direct Expense
Item
Unit Price
Quantity
Unit
Amount
Y
$##.##
##
Y
$##.##
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.
PE RVU Components (by modifier)
Modifier
National Unadjusted PE RVU
PE GPCI
Adjusted PE RVU
(none)
##.##
##.##
0.08
Malpractice Component: 0.02
MP RVU Components (by modifier)
Modifier
National Unadjusted MP RVU
MP GPCI
Adjusted MP RVU
(none)
##.##
##.##
0.02
Non-Facility 0.65 (Office, etc.)
RVU Components (by modifier)
Modifier
Work
Practice Expense
Malpractice Expense
Total
(none)
0.5
0.13
0.02
0.65
View calculated CPT fee values specifically for your Medicare locality.
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Practitioner Work Component: 0.5
Practitioner Labor
Pre-Service
Intra-Service
Post-Service
Total Time*
##
##
##
## min
* Total Time may be greater than the displayed components.
Work RVU Components (by modifier)
Modifier
National Unadjusted Work RVU
Work GPCI
Adjusted Work RVU
(none)
##.##
##.##
0.5
Practice Expense: 0.13
Clinical Labor (Non-Facility)- Direct Expense
Staff
Staff Rate
Pre Time
Intra Time
Post Time
Total Time*
$0.00 / min
## min
## min
## min
## min
* Total Time may be greater than the displayed components.
Equipment (Non-Facility)- Direct Expense
Item
Purchase Price
Expected Life
Total Time
$##.##
## years
## min
Supplies (Non-Facility)- Direct Expense
Item
Unit Price
Quantity
Unit
Amount
Y
$##.##
##
Y
$##.##
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.
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Code Information
