TMPPM 2010 > Behavioral Health, Rehabilitation, and Case Management Services Handbook > Physician, Psychologist, and Licensed Psychological Associate (LPA) Providers > Psychological and Neuropsychological Testing

   
 

7.11 Psychological and Neuropsychological Testing

Psychological testing (procedure code 96101) and neuropsychological testing (procedure code 96118) are covered services when provided by a psychiatrist, psychologist, or LPA under the direct supervision of the psychologist and are limited to the following diagnosis codes:

Diagnosis Codes

0460

04611

04619

04672

05821

05829

2900

29010

29011

29012

29013

29020

29021

2903

29040

29041

29042

29043

2908

2909

2911

2912

2915

29189

2919

2920

29211

29212

2922

29281

2929

2930

2931

29381

29382

29383

29384

29389

2939

2940

29410

29411

2948

2949

29500

29501

29502

29503

29504

29505

29510

29511

29512

29513

29514

29515

29520

29521

29522

29523

29524

29525

29530

29531

29532

29533

29534

29535

29540

29541

29542

29543

29544

29545

29550

29551

29552

29553

29554

29555

29560

29561

29562

29563

29564

29565

29570

29571

29572

29573

29574

29575

29580

29581

29582

29583

29584

29585

29590

29591

29592

29593

29594

29595

29600

29601

29602

29603

29604

29605

29606

29610

29611

29612

29613

29614

29615

29616

29620

29621

29622

29623

29624

29625

29626

29630

29631

29632

29633

29634

29635

29636

29640

29641

29642

29643

29644

29645

29646

29650

29651

29652

29653

29654

29655

29656

29660

29661

29662

29663

29664

29665

29666

2967

29680

29681

29682

29689

29690

29699

2970

2971

2972

2973

2978

2979

2980

2981

2982

2983

2984

2988

2989

29900

29910

29980

29990

30000

30001

30002

30009

30010

30011

30012

30013

30014

30015

30016

30019

30020

30021

30022

30023

30029

3003

3004

3005

3006

3007

30081

30082

30089

3009

3010

30110

30111

30112

30113

30120

30121

30122

3013

3014

30150

30151

30159

3016

3017

30181

30182

30183

30184

30189

3019

3020

3021

3022

3023

3024

30250

30251

30252

30253

3026

30270

30271

30272

30273

30274

30275

30276

30279

30281

30282

30283

30284

30285

30289

3029

30390

30400

30500

30501

30502

30503

30520

30521

30522

30523

30530

30531

30532

30533

30540

30541

30542

30543

30550

30551

30552

30553

30560

30561

30562

30563

30570

30571

30572

30573

30580

30581

30582

30583

30591

30592

30593

3070

3071

30720

30721

30722

30723

3073

30740

30741

30742

30743

30744

30745

30746

30747

30748

30749

30750

30751

30752

30753

30754

30759

3076

3077

30780

30781

30789

3079

3080

3081

3082

3083

3084

3089

3090

3091

30921

30922

30923

30924

30928

30929

3093

3094

30981

30982

30983

30989

3099

3100

3101

3102

3108

311

31200

31201

31202

31203

31210

31211

31212

31213

31220

31221

31222

31223

31230

31231

31232

31233

31234

31235

31239

3124

31281

31282

31289

3129

3130

3131

31321

31322

31323

3133

31381

31382

31383

31389

3139

31400

31401

3141

3142

3148

3149

31531

31532

31534

3154

3155

3158

3159

317

3180

3181

3182

319

3200

3201

3202

3203

3207

32081

32082

32089

3209

3210

3211

3212

3213

3214

3218

3220

3221

3222

3229

32301

32302

3231

3232

32341

32342

32351

32352

32361

32362

32363

32371

32372

32381

32382

32383

3239

3240

3241

3249

3300

3301

3302

3303

3308

3309

3310

33111

33119

3312

3313

3314

3315

3317

33181

33182

3319

33392

340

34500

34501

34510

34511

3452

3453

34540

34541

34550

34551

34560

34561

34570

34571

34580

34581

34590

34591

3480

3481

34830

34831

34839

34881

34889

38845

430

431

4320

4321

4329

43300

43301

43310

43311

43320

43321

43330

43331

43380

43381

43390

43391

43400

43401

43410

43411

43490

43491

4350

4351

4352

4353

4358

4359

436

4370

4371

4372

4373

4374

4375

4376

4377

4378

4379

4380

43810

43811

43812

43813

43814

43819

43820

43821

43822

43830

43831

43832

43840

43841

43842

43850

43851

43852

43853

4386

4387

43881

43882

43883

43884

43885

43889

4389

7685

7686

77210

77211

77212

77213

77214

7722

7790

78031

78039

79901

79902

79921

79922

79923

79924

79925

79929

8500

85011

85012

8502

8503

8504

8505

8509

85100

85101

85102

85103

85104

85105

85106

85109

85110

85111

85112

85113

85114

85115

85116

85119

85120

85121

85122

85123

85124

85125

85126

85129

85130

85131

85132

85133

85134

85135

85136

85139

85140

85141

85142

85143

85144

85145

85146

85149

85150

85151

85152

85153

85154

85155

85156

85159

85160

85161

85162

85163

85164

85165

85166

85169

85170

85171

85172

85173

85174

85175

85176

85179

85180

85181

85182

85183

85184

85185

85186

85189

85190

85191

85192

85193

85194

85195

85196

85199

85200

85201

85202

85203

85204

85205

85206

85209

85210

85211

85212

85213

85214

85215

85216

85219

85220

85221

85222

85223

85224

85225

85226

85229

85230

85231

85232

85233

85234

85235

85236

85239

85240

85241

85242

85243

85244

85245

85246

85249

85250

85251

85252

85253

85254

85255

85256

85259

85300

85301

85302

85303

85304

85305

85306

85309

85310

85311

85312

85313

85314

85315

85316

85319

85400

85401

85402

85403

85404

85405

85406

85409

986

9941

9947

V110

V111

V112

V113

V1552

V170

V401

V402

V6282

V6283

V6284

V695

V7101

V7102

V790

V791

V792

V793

V798

Psychologists licensed by the TSBEP and enrolled as Medicaid providers are authorized to perform counseling and testing for mental illness/debility.

Psychological and neuropsychological testing are not covered benefits when provided by a CNS, NP, or PA. Each hour of psychological or neuropsychological testing does count toward the 12-hour per day per provider system limitation.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2009 American Medical Association. All rights reserved.
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