CPT code 96127: Behavioral screening tool, per scored standardized instrument2026 Medicare rate & RVUs in Mississippi
Administration and scoring of a brief standardized emotional or behavioral questionnaire, such as the PHQ-9 or GAD-7, reported per instrument administered and scored.
In Mississippi, Medicare pays $4.27 for 96127 in the office.
Check a contract rate as a % of Medicare · 96127 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 96127 covers
This service involves a brief standardized questionnaire used to screen for or monitor emotional and behavioral symptoms. Typical tools include the PHQ-9 or PHQ-A for depression, the GAD-7 for anxiety, Vanderbilt rating scales for ADHD, and the Pediatric Symptom Checklist. A patient, parent, or teacher may complete the form, and clinical staff commonly score it. It is used in primary care, pediatrics, and behavioral health practices during well visits, problem visits, and medication follow-ups, typically in an office setting.
Report one unit for each instrument administered, scored, and documented; a PHQ-9 and GAD-7 completed at one visit support two units. A repeat administration needs its own scored result and clinical purpose. The record should identify the instrument, its score, and any clinical response. CMS classifies 96127 as a technical-component-only code with no physician work value. It covers administration and scoring; separate coding covers interpretation when the requirements for that service are met. Do not append modifier 26 or TC to 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.
How Mississippi compares for 96127
Across 109 of 109 payment localities, the office rate for 96127 runs from $4.19 in Arkansas to $6.92 in San Benito County, CA. Mississippi pays $4.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$4.27
- Los Angeles, CA · California$5.75+$1.48
- Washington, DC area · District of Columbia$5.88+$1.61
- Miami, FL · Florida$5.71+$1.44
- Chicago, IL · Illinois$5.47+$1.20
- Manhattan, NY · New York$5.96+$1.69
- Alaska · Alaska$5.16+$0.89
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $4.28 | — |
| ArkansasArkansas | $4.19 | — |
| ArizonaArizona | $4.82 | — |
| Bakersfield, CACalifornia | $5.33 | — |
| Chico, CACalifornia | $5.30 | — |
| El Centro, CACalifornia | $5.31 | — |
| Fresno, CACalifornia | $5.30 | — |
| Hanford, CACalifornia | $5.30 | — |
| Madera, CACalifornia | $5.30 | — |
| Merced, CACalifornia | $5.30 | — |
| Modesto, CACalifornia | $5.30 | — |
| Napa, CACalifornia | $6.33 | — |
| Oxnard, CACalifornia | $5.74 | — |
| Redding, CACalifornia | $5.30 | — |
| Rest of CaliforniaCalifornia | $5.30 | — |
| Riverside, CACalifornia | $5.41 | — |
| Sacramento, CACalifornia | $5.62 | — |
| Salinas, CACalifornia | $5.60 | — |
| San Diego, CACalifornia | $5.77 | — |
| Marin County, CACalifornia | $6.75 | — |
| San Francisco, CACalifornia | $6.74 | — |
| San Benito County, CACalifornia | $6.92 | — |
| Santa Clara County, CACalifornia | $6.88 | — |
| San Luis Obispo, CACalifornia | $5.51 | — |
| Santa Cruz, CACalifornia | $5.86 | — |
| Santa Maria, CACalifornia | $5.63 | — |
| Santa Rosa, CACalifornia | $5.92 | — |
| Stockton, CACalifornia | $5.30 | — |
| Vallejo, CACalifornia | $6.32 | — |
| Visalia, CACalifornia | $5.30 | — |
| Yuba City, CACalifornia | $5.30 | — |
| ColoradoColorado | $5.24 | — |
| ConnecticutConnecticut | $5.44 | — |
| DelawareDelaware | $4.92 | — |
| Fort Lauderdale, FLFlorida | $5.34 | — |
| Rest of FloridaFlorida | $4.97 | — |
| Atlanta, GAGeorgia | $5.15 | — |
| Rest of GeorgiaGeorgia | $4.57 | — |
| Hawaii, Guam, HIHawaii | $5.51 | — |
| IowaIowa | $4.41 | — |
| IdahoIdaho | $4.46 | — |
| East St. Louis, ILIllinois | $4.97 | — |
| Rest of IllinoisIllinois | $4.79 | — |
| Suburban Chicago, ILIllinois | $5.39 | — |
| IndianaIndiana | $4.50 | — |
| KansasKansas | $4.40 | — |
| KentuckyKentucky | $4.46 | — |
| New Orleans, LALouisiana | $4.78 | — |
| Rest of LouisianaLouisiana | $4.46 | — |
| Metropolitan Boston, MAMassachusetts | $5.88 | — |
| Rest of MassachusettsMassachusetts | $5.19 | — |
| Baltimore area, MDMaryland | $5.43 | — |
| Rest of MarylandMaryland | $5.04 | — |
| Rest of MaineMaine | $4.51 | — |
| Southern Maine, MEMaine | $4.84 | — |
| Detroit, MIMichigan | $5.08 | — |
| Rest of MichiganMichigan | $4.65 | — |
| MinnesotaMinnesota | $4.91 | — |
| Metropolitan Kansas City, MOMissouri | $4.72 | — |
| Metropolitan St. Louis, MOMissouri | $4.79 | — |
| Rest of MissouriMissouri | $4.36 | — |
| MontanaMontana | $5.01 | — |
| North CarolinaNorth Carolina | $4.58 | — |
| North DakotaNorth Dakota | $4.81 | — |
| NebraskaNebraska | $4.44 | — |
| New HampshireNew Hampshire | $5.16 | — |
| Northern New JerseyNew Jersey | $5.78 | — |
| Rest of New JerseyNew Jersey | $5.47 | — |
| New MexicoNew Mexico | $4.69 | — |
| NevadaNevada | $4.96 | — |
| NYC suburbs and Long Island, NYNew York | $6.18 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $5.52 | — |
| Queens, NYNew York | $6.01 | — |
| Rest of New YorkNew York | $4.68 | — |
| OhioOhio | $4.61 | — |
| OklahomaOklahoma | $4.44 | — |
| Portland, OROregon | $5.44 | — |
| Rest of OregonOregon | $4.89 | — |
| Metropolitan Philadelphia, PAPennsylvania | $5.27 | — |
| Rest of PennsylvaniaPennsylvania | $4.61 | — |
| Puerto RicoPuerto Rico | $5.06 | — |
| Rhode IslandRhode Island | $5.13 | — |
| South CarolinaSouth Carolina | $4.60 | — |
| South DakotaSouth Dakota | $4.79 | — |
| TennesseeTennessee | $4.43 | — |
| Austin, TXTexas | $5.24 | — |
| Beaumont, TXTexas | $4.57 | — |
| Brazoria, TXTexas | $4.89 | — |
| Dallas, TXTexas | $4.94 | — |
| Fort Worth, TXTexas | $4.90 | — |
| Galveston, TXTexas | $4.92 | — |
| Houston, TXTexas | $5.10 | — |
| Rest of TexasTexas | $4.74 | — |
| UtahUtah | $4.70 | — |
| VirginiaVirginia | $4.83 | — |
| Virgin Islands, VIUnited States Virgin Islands | $5.06 | — |
| VermontVermont | $4.80 | — |
| Rest of WashingtonWashington | $5.18 | — |
| King County, WAWashington | $6.01 | — |
| WisconsinWisconsin | $4.58 | — |
| West VirginiaWest Virginia | $4.54 | — |
| WyomingWyoming | $4.92 | — |
96127 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$4.19
$6.11
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $5.16 | 1 |
| AL | $4.28 | 1 |
| AR | $4.19 | 1 |
| AZ | $4.82 | 1 |
| CA | $5.30–$6.92 | 29 |
| CO | $5.24 | 1 |
| CT | $5.44 | 1 |
| DC | $5.88 | 1 |
| DE | $4.92 | 1 |
| FL | $4.97–$5.71 | 3 |
| GA | $4.57–$5.15 | 2 |
| GU | $5.51 | 1 |
| HI | $5.51 | 1 |
| IA | $4.41 | 1 |
| ID | $4.46 | 1 |
| IL | $4.79–$5.47 | 4 |
| IN | $4.50 | 1 |
| KS | $4.40 | 1 |
| KY | $4.46 | 1 |
| LA | $4.46–$4.78 | 2 |
| MA | $5.19–$5.88 | 2 |
| MD | $5.04–$5.88 | 3 |
| ME | $4.51–$4.84 | 2 |
| MI | $4.65–$5.08 | 2 |
| MN | $4.91 | 1 |
| MO | $4.36–$4.79 | 3 |
| MS | $4.27 | 1 |
| MT | $5.01 | 1 |
| NC | $4.58 | 1 |
| ND | $4.81 | 1 |
| NE | $4.44 | 1 |
| NH | $5.16 | 1 |
| NJ | $5.47–$5.78 | 2 |
| NM | $4.69 | 1 |
| NV | $4.96 | 1 |
| NY | $4.68–$6.18 | 5 |
| OH | $4.61 | 1 |
| OK | $4.44 | 1 |
| OR | $4.89–$5.44 | 2 |
| PA | $4.61–$5.27 | 2 |
| PR | $5.06 | 1 |
| RI | $5.13 | 1 |
| SC | $4.60 | 1 |
| SD | $4.79 | 1 |
| TN | $4.43 | 1 |
| TX | $4.57–$5.24 | 8 |
| UT | $4.70 | 1 |
| VA | $4.83–$5.88 | 2 |
| VI | $5.06 | 1 |
| VT | $4.80 | 1 |
| WA | $5.18–$6.01 | 2 |
| WI | $4.58 | 1 |
| WV | $4.54 | 1 |
| WY | $4.92 | 1 |
How the 96127 rate is calculated
Each of 96127’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 · 96127
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.14
0.14 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.1500
Conversion factor
$33.4009
Medicare rate
$5.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,754
- Code
- 96127
- Physician work
- 0.00
- Practice expense
- 0.14
- Malpractice
- 0.01
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.14 | × 0.861 | 0.1205 |
| Malpractice | 0.01 | × 0.739 | 0.0074 |
| Total RVUs | 0.1279 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Mississippi$4.27
Office: (0 × 1 + 0.14 × 0.861 + 0.01 × 0.739) × $33.4009 = $4.27
Payment rules and modifiers for 96127
The CMS indicators that decide how 96127 is paid alongside other services.
CMS payment indicators · 96127
Behavioral screening tool, per scored standardized instrument
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
How 96127 has changed in Mississippi
96127 · Office / nonfacility
$4.27
Effective 2026-10-01
The base rate is $0.44 higher than on 2025-10-01, moving from $3.83 to $4.27 (11.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$3.83changed to$4.27
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.13 changed to 0.14
- Practice expense GPCI 0.852 changed to 0.861
- Malpractice GPCI 0.768 changed to 0.739
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$3.94changed to$3.83
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$3.88changed to$3.94
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$3.98changed to$3.88
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.847 changed to 0.852
- Malpractice GPCI 0.720 changed to 0.768
January 1, 2023
RVU23A
$4.02changed to$3.98
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.842 changed to 0.847
- Malpractice GPCI 0.671 changed to 0.720
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$4.05changed to$4.02
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$4.20changed to$4.05
- Conversion factor 36.0896 changed to 34.8931
- Practice expense GPCI 0.856 changed to 0.842
- Malpractice GPCI 0.521 changed to 0.671
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$4.52changed to$4.20
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.14 changed to 0.13
- Practice expense GPCI 0.870 changed to 0.856
- Malpractice GPCI 0.370 changed to 0.521
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$5.46changed to$4.52
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.17 changed to 0.14
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$4.84changed to$5.46
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.15 changed to 0.17
- Practice expense GPCI 0.867 changed to 0.870
- Malpractice GPCI 0.492 changed to 0.370
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$4.55changed to$4.84
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.14 changed to 0.15
- Practice expense GPCI 0.864 changed to 0.867
- Malpractice GPCI 0.613 changed to 0.492
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$4.57changed to$4.55
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$4.54changed to$4.57
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$4.54
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $4.27 | Not available in this setting | RVU26D |
| 2026-07-01 | $4.27 | Not available in this setting | RVU26C |
| 2026-04-01 | $4.27 | Not available in this setting | RVU26B |
| 2026-01-01 | $4.27 | Not available in this setting | RVU26A |
| 2025-10-01 | $3.83 | Not available in this setting | RVU25D |
| 2025-07-01 | $3.83 | Not available in this setting | RVU25C |
| 2025-04-01 | $3.83 | Not available in this setting | RVU25B |
| 2025-01-01 | $3.83 | Not available in this setting | RVU25A |
| 2024-10-01 | $3.94 | Not available in this setting | RVU24D |
| 2024-07-01 | $3.94 | Not available in this setting | RVU24C |
| 2024-04-01 | $3.94 | Not available in this setting | RVU24B |
| 2024-03-09 | $3.94 | Not available in this setting | RVU24AR |
| 2024-01-01 | $3.88 | Not available in this setting | RVU24A |
| 2023-10-01 | $3.98 | Not available in this setting | RVU23D |
| 2023-07-01 | $3.98 | Not available in this setting | RVU23C |
| 2023-04-01 | $3.98 | Not available in this setting | RVU23B |
| 2023-01-01 | $3.98 | Not available in this setting | RVU23A |
| 2022-10-01 | $4.02 | Not available in this setting | RVU22D |
| 2022-07-01 | $4.02 | Not available in this setting | RVU22C |
| 2022-04-01 | $4.02 | Not available in this setting | RVU22B |
| 2022-01-01 | $4.02 | Not available in this setting | RVU22A |
| 2021-10-01 | $4.05 | Not available in this setting | RVU21D |
| 2021-07-01 | $4.05 | Not available in this setting | RVU21C |
| 2021-04-01 | $4.05 | Not available in this setting | RVU21B |
| 2021-01-01 | $4.05 | Not available in this setting | RVU21A |
| 2020-10-01 | $4.20 | Not available in this setting | RVU20D |
| 2020-07-01 | $4.20 | Not available in this setting | RVU20C |
| 2020-04-01 | $4.20 | Not available in this setting | RVU20B |
| 2020-01-01 | $4.20 | Not available in this setting | RVU20A |
| 2019-10-01 | $4.52 | Not available in this setting | RVU19D |
| 2019-07-01 | $4.52 | Not available in this setting | RVU19C |
| 2019-04-01 | $4.52 | Not available in this setting | RVU19B |
| 2019-01-01 | $4.52 | Not available in this setting | RVU19A |
| 2018-10-01 | $5.46 | Not available in this setting | RVU18D |
| 2018-07-01 | $5.46 | Not available in this setting | RVU18C |
| 2018-04-01 | $5.46 | Not available in this setting | RVU18B |
| 2018-01-01 | $5.46 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $4.84 | Not available in this setting | RVU17D |
| 2017-07-01 | $4.84 | Not available in this setting | RVU17C |
| 2017-04-01 | $4.84 | Not available in this setting | RVU17B |
| 2017-01-01 | $4.84 | Not available in this setting | RVU17A |
| 2016-10-01 | $4.55 | Not available in this setting | RVU16D |
| 2016-07-01 | $4.55 | Not available in this setting | RVU16C |
| 2016-04-01 | $4.55 | Not available in this setting | RVU16B |
| 2016-01-01 | $4.55 | Not available in this setting | RVU16A |
| 2015-10-01 | $4.57 | Not available in this setting | RVU15D |
| 2015-07-01 | $4.57 | Not available in this setting | RVU15C |
| 2015-04-01 | $4.54 | Not available in this setting | RVU15B |
| 2015-01-01 | $4.54 | Not available in this setting | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
96127 billing questions
How many units are reported when several screening tools are used at one visit?
Report one unit for each standardized instrument administered and scored. A repeat use of the same instrument needs a separate administration, scored result, and clinical purpose; rescoring one completed form does not support another unit.
Is the provider's review of the score billed separately?
96127 covers administration and scoring, not professional interpretation. CMS identifies separate coding for interpretation; routine use of the result during a visit does not, by itself, establish a separately reportable interpretation service.
Should maternal depression screening at an infant's well-child visit use this code?
Screening the parent for the child's benefit, for example with the Edinburgh Postnatal Depression Scale, is generally reported with caregiver-focused code 96161 rather than 96127.
What documentation supports each unit?
Identify the instrument, record who completed it and its score, and retain the scored form or result. Document the clinical response when indicated, such as a referral, medication change, or follow-up plan.
Can this be reported with a developmental screen at the same visit?
Yes, when separate instruments are administered and scored. A developmental tool such as the ASQ is reported with 96110, while a distinct emotional or behavioral tool is reported with 96127.
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
Show the CMS file lines behind this rate
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