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CPT code

96131: Psychological testing evaluation services, each additional hour

96131 adds each hour of evaluation service after the first hour billed as 96130. Same work: integration, diagnosis, treatment planning, feedback.

Kind
CPT code
Family
testing
Time
Each additional 60 minutes after 96130
Who bills
Psychologists
Telehealth
Eligible
Add-on
Add-on only
Pairs with
96130

When to use it

Use one unit per additional hour of evaluation service, documented by time.

When not to

Do not use it without 96130 on the same episode, and do not use it for test administration.

With children and families

Comprehensive child evaluations often need two or three additional hours: reconciling parent and teacher scales, integrating observation and cognitive data, and a longer feedback conversation with both parents. Record the minutes per activity.

Questions about 96131

Is there a cap on 96131 units?
Payers set their own limits; some require authorization above a threshold. Emora checks the plan before the evaluation.
Do I bill 96131 on the same date as 96130?
Yes, when the additional hours happen on that date. Each date of evaluation service starts with 96130 for its first hour.

Related

CodeWhat it isTimeWho billsTelehealth
96130Psychological testing evaluation services, first hourFirst 60 minutes; 96131 for each additional hourPsychologistsYes

General information for licensed clinicians, not billing advice. Insurers reimburse each code differently and payer contracts control; Emora handles the billing.

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