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36.4.4 Assessment of Higher Cerebral Function Testing
Physician Payment Reform has grouped assessment of higher cerebral function testing, procedure codes 5-96105, 5-96110, 5-96111, and 5-96115 into the payment for primary services; therefore, no separate payment is made for this testing.
Aphasia, developmental, and cognitive testing must be billed using the appropriate E/M or outpatient code. Procedure codes 5-96105, 5-96110, 5-96111, and 5-96115 are denied as part of the patient's evaluation, whether billed in conjunction with an E/M or outpatient code or as an independent procedure(s).
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