CPT code 96110: Developmental screening, per standardized instrument2026 Medicare rate & RVUs in Florida
Reports a brief standardized developmental screen with scoring and documentation to identify possible concerns during a child’s care.
CMS doesn’t publish an office rate for 96110 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 96110 covers
96110 covers a brief standardized developmental screen used to identify possible developmental concerns, rather than an in-depth developmental test. In pediatric primary care and preventive visits, a clinician or office staff member may administer a tool to a child or have a caregiver complete it; the practice scores the instrument and records the result. General developmental questionnaires and autism screening tools, including M-CHAT, are examples.
Report the service by standardized instrument, not elapsed time; each completed, scored, and documented instrument represents a unit. The record should identify the tool and its result. Medicare assigns 96110 status N, meaning the service is not covered by Medicare. It is distinct from developmental testing reported under 96112 and brief emotional or behavioral assessment reported under 96127.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 96110 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
How the 96110 rate is calculated
Each of 96110’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 96110
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3700
Conversion factor
$33.4009
Medicare rate
$12.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96110
96110 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 96110
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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96110 isn’t priced in this setting.
96110 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 96112Developmental testingInitial hour
- Use 96110 for a brief standardized developmental screen. 96112 describes developmental testing reported by time.
- 96127Behavioral screening toolPer scored standardized instrument
- 96127 is for a brief emotional or behavioral assessment; 96110 is for developmental screening.
- 96160Health risk assessmentPatient-focused instrument
- 96160 describes a patient-focused health risk assessment, rather than a standardized developmental screen.
96110 billing questions
Is 96110 billed per instrument or per hour?
It is reported per standardized instrument that is completed, scored, and documented. The unit is not time-based.
How is 96110 different from 96112?
96110 describes a brief standardized developmental screen. 96112 is for developmental testing, a more extensive service reported by time.
Can 96110 be performed during a preventive visit?
A developmental screen may be performed during a child’s preventive visit. The screening and preventive visit describe distinct services.
What documentation supports 96110?
Record the standardized instrument used, that it was completed, and its score or result.
Does Medicare cover 96110?
No. Medicare assigns 96110 status N, meaning it is not covered.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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