Medicine (October 2000)

October 2000 page 7 Coding Consultation Assessment Tests, Central Nervous System, Medicine, 96115 (Q&A) Central Nervous System Assessment Tests Question How would I code the Mini-Mental Status Examination (MMSE)? Should I report code 96115 ? Answer The MMSE would not be reported by CPT code 96115 , Neuro-behavioral status exam (clinical assessment of thinking, reasoning and judgment, eg, acquired knowledge, attention, memory, visual spatial abilities, language functions, planning) with interpretation and report, per hour. According to our CPT advisor representing neurology, the MMSE is a 30-element examination, originally created to provide a very quick and simple summary test, which could...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a coding consultation from CPT® Assistant focused on central nervous system assessment tests in the Medicine section. It addresses how a commonly used mental status screening relates to CPT evaluation and management reporting, and it contrasts that screening with a more extensive neurobehavioral assessment service. The piece is useful for coders, billing staff, and clinicians who want to understand the scope of the discussion and the CPT context covered in the Q&A.

Why This Topic Matters

It helps readers identify whether the article applies to documentation and reporting questions involving brief cognitive screening versus more comprehensive neurobehavioral assessment services within CPT.

Article Sections

  1. Coding Consultation

    A Q&A-style coding consultation covering central nervous system assessment testing within the Medicine section.

  2. Question

    The submitted coding question about a brief mental status examination and whether a specific CPT service applies.

  3. Answer

    The response explains the general coding context for the screening exam and discusses the broader assessment service referenced in the question.

What You Will Learn

  • The article’s coding topic and clinical context within Medicine
  • How the discussion distinguishes a brief cognitive screening from a more extensive assessment
  • Which type of CPT service is addressed in the consultation
  • The professional audience that would find the Q&A relevant

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance teams
  • Physicians
  • Neurology practices

Codes Discussed


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