Medicare Compliance & Reimbursement - 2006 Issue 3
NEUROLOGY: Physicians Can't Bill For Tests Performed By A Technician
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Article Overview
This article reviews a set of CPT 2006 changes in neurology-related testing services, including the replacement of older neuropsychological and neurobehavioral status exam codes with more specific codes tied to who administers the test and who interprets the results. It is aimed at physicians, neurologists, psychologists, and coding/billing staff who need to understand how the revised code structure affects documentation, supervision, and service reporting.
Why This Topic Matters
The article matters because it highlights a coding transition that changes how testing services are reported and documented, especially when technicians, computers, or physicians are involved. It also addresses common misapplication of older neurobehavioral testing codes and the shift to more specific reporting.
Article Sections
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Neuropsychological testing code changes
This section summarizes the CPT 2006 replacement of an older neuropsychological testing code with multiple more specific options. It focuses on the general structure of the revised reporting approach.
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Who may perform and report the testing
This section discusses service performance, supervision, and time reporting considerations for the revised testing codes. It also addresses how the roles of the physician, technician, and computer are distinguished.
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Kiss 96115 Goodbye
This section explains the replacement of an older neurobehavioral status exam code with a new code and the related clarification of what the service is meant to cover. It also notes the impact on common misbilling patterns.
What You Will Learn
- How CPT 2006 changed reporting for neuropsychological testing services
- How service performance and supervision affect reporting of testing
- How the revised neurobehavioral status exam reporting is positioned in the article
- What documentation and role distinctions are emphasized in the article
Who Should Read This
- Physicians
- Neurologists
- Psychologists
- Psychiatrists
- Medical coders
- Billing staff
Codes Discussed
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