E/M visits can be reported with psych test codes, CMS says

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

Article Overview

This article covers Medicare/CMS commentary on reporting evaluation and management visits in connection with psychological testing, along with the surrounding CPT and coding guidance discussed by consultants and the AMA. It is aimed at pain management coders, physicians, psychologists, and billing staff who need to understand how the topic was being interpreted in 2006, including discussion of psychological testing, mini-mental status assessments, and related documentation and fee schedule context.

Why This Topic Matters

The article helps readers understand a common coding question in pain management and behavioral health billing: when an office visit may be reported separately from psychological testing and what general coding references were being consulted at the time. It also provides historical context for 2006 Medicare fee schedule information and the broader discussion around test categories used in practice.

What You Will Learn

  • The general CMS and AMA discussion surrounding billing E/M services with psychological testing
  • How the article frames psychological testing versus brief mental status assessments
  • Which broad types of testing are discussed in the context of pain management
  • The 2006 Medicare fee schedule context presented for psychological testing services

Who Should Read This

  • Physicians
  • Pain management specialists
  • Psychologists
  • Certified professional coders
  • Billing and reimbursement staff
  • Compliance staff

Codes Discussed

Code Ranges Discussed

  • CPT: 96101–96103

Modifiers Discussed


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