New Psychological Services Procedure Codes

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Oregon
Theodore R. Kulongoski, Governor
April 14, 2006
Department of Human Services
Finance & Policy Analysis
500 Summer Street NE, E-23
Salem, OR 97301-1098
(503) 945-6933
Fax (503) 378-2897
TTY (503) 947-5330
TO:
All SBHS Providers
FROM:
Lasa Baxter, Financial Analyst SBHS
Linda J. Williams, Financial Analyst SBHS
SUBJECT: New Psychological Services Procedure Codes,
Effective January 1, 2006
Effective December 31st, 2005, The American Medical Association (AMA)
provided notification deleting the following psychological services code:
96100 -
Psychological testing (includes psycho-diagnostic assessment of
personality, psychopathology, emotionality, intellectual abilities,
e.g., WAIS-R, Rorschach, MMPI) with interpretation and report, per
hour
Effective January 1, 2006, the AMA provided the following new psychological
services procedure codes:
96101 -
Psychological testing (includes psychodiagnostic assessment of
emotionality, intellectual abilities, personality and psychopathology,
eg: MMPI, Rorshach, WAIS), per hour of the psychologist's or
physician's time, both face-to-face time with the patient and time
interpreting test results and preparing the report.
96102 -
Psychological testing (includes psychodiagnostic assessment of
emotionality, intellectual abilities, personality and psychopathology,
eg: MMPI and WAIS), with qualified health care professional
interpretation and report, administered by technician, per hour of
technician time, face-to-face.
96103 -
Psychological testing (includes psychodiagnostic assessment of
emotionality, intellectual abilities, personality and psychopathology,
eg: MMPI), administered by a computer, with qualified health care
professional interpretation and report. The physician or
psychologist administers and interprets the results of psychological
testing. The testing in written, oral, computer, or combined formats
measures personality, emotions, intellectual functioning, and
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psychopathology. This code applies to each hour of testing and
includes both face-to-face time and interpretation and preparation
of the report. In 96102, a technician administers the test, which is
interpreted and a report prepared by a qualified health care
professional. In 96103, the test is administered by computer, which
is interpreted and a report prepared by a qualified health care
professional.
96116 -
Neurobehavioral status exam (clinical assessment of thinking,
reasoning and judgment, eg: acquired knowledge, attention,
language, memory, planning and problem solving, and visual
spatial abilities), per hour of the psychologist's or physician's time,
both face-to-face time with the patient and time interpreting test
results and preparing the report. The physician or psychologist
evaluates aspects of thinking, reasoning, and judgment to evaluate
a patient's neurocognitive abilities. This code applies to each hour
of examination time and includes both face-to-face time with the
patient and time spent interpreting test results and preparing a
report.
96118 -
Neuropsychological testing (eg: Halstead-Reitan
Neurophychological battery, Wechsler memory scales and
Wisconsin Care sorting test, psychologist time.)
96119 -
Neuropsychological testing (eg: Halstead-Reitan
Neurophychological battery, Wechsler memory scales and
Wisconsin Care sorting test administered by technician.)
96120 -
Neuropsychological testing (eg: Halstead-Reitan
Neurophychological battery, Wechsler memory scales and
Wisconsin Care sorting test administered by computer.)
SBHS providers may use the above listed new AMA codes for SBHS provided on
or after January 1, 2006.
If you have any questions regarding this notification, please contact us.
Thank you for your patience and courtesy.
Linda J. Williams
(503) 945-6730
[email protected]
Lasa Baxter
(541) 975-5614
[email protected]
“Assisting People to Become Independent, Healthy and Safe”
An Equal Opportunity Employer
DHS 2998 (02/03)
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