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CPT code 96127: Behavioral screening tool, per scored standardized instrument2026 Medicare rate & RVUs in New Mexico

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.

CMS RVU26DEffective Oct 1, 2026One payment locality956K Medicare services in 2024

In New Mexico, Medicare pays $4.69 for 96127 in the office.

$4.69Office (non-facility)
Not available in this settingHospital or facility
−6.4%vs the national office rate ($5.01)

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.

We’ll open 96127 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 96127 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 New Mexico 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. New Mexico pays $4.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

96127 in New Mexico vs other payment areas
  1. New Mexico · this page$4.69
  2. Los Angeles, CA · California$5.75+$1.06
  3. Washington, DC area · District of Columbia$5.88+$1.19
  4. Miami, FL · Florida$5.71+$1.02
  5. Chicago, IL · Illinois$5.47+$0.78
  6. Manhattan, NY · New York$5.96+$1.27
  7. Alaska · Alaska$5.16+$0.47

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

96127 in every other Medicare payment locality
Payment localityOfficeFacility
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—

96127 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
96127 office rate range by state
State / territoryOffice rate rangeLocalities
AK$5.161
AL$4.281
AR$4.191
AZ$4.821
CA$5.30–$6.9229
CO$5.241
CT$5.441
DC$5.881
DE$4.921
FL$4.97–$5.713
GA$4.57–$5.152
GU$5.511
HI$5.511
IA$4.411
ID$4.461
IL$4.79–$5.474
IN$4.501
KS$4.401
KY$4.461
LA$4.46–$4.782
MA$5.19–$5.882
MD$5.04–$5.883
ME$4.51–$4.842
MI$4.65–$5.082
MN$4.911
MO$4.36–$4.793
MS$4.271
MT$5.011
NC$4.581
ND$4.811
NE$4.441
NH$5.161
NJ$5.47–$5.782
NM$4.691
NV$4.961
NY$4.68–$6.185
OH$4.611
OK$4.441
OR$4.89–$5.442
PA$4.61–$5.272
PR$5.061
RI$5.131
SC$4.601
SD$4.791
TN$4.431
TX$4.57–$5.248
UT$4.701
VA$4.83–$5.882
VI$5.061
VT$4.801
WA$5.18–$6.012
WI$4.581
WV$4.541
WY$4.921

See 96127 in every payment locality

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

Office or facility?

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 New Mexico 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

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 96127 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.14× 0.9170.1284
Malpractice0.01× 1.2010.0120
Total RVUs0.1404
Conversion factor× 33.4009

Office rate, New Mexico$4.69

Office: (0 × 1 + 0.14 × 0.917 + 0.01 × 1.201) × $33.4009 = $4.69

Open 96127 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Codes related to 96127

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 96127
CodeHow it relatesOffice range, New Mexico
Often billed with
96110Developmental screening, per standardized instrumentA separate developmental screen may accompany an emotional or behavioral assessment at the same visit.No office rate
96160Health risk assessment, patient-focused instrumentA distinct patient-focused health risk assessment may accompany a brief emotional or behavioral assessment.$2.76
99214Office visit, established patient, moderate complexityAn established patient office visit may accompany a separately administered PHQ-9 or GAD-7.$131.00
99213Office visit, established patient, low complexityAn established patient office visit may accompany a separately administered behavioral screening tool.$91.75
Used instead
96161Health risk assessment, caregiver-focused instrumentUse for a caregiver-focused assessment, such as maternal depression screening for a child's benefit.$3.06
96146Automated testing, single instrument, automated resultUse for a single electronically administered psychological or neuropsychological test with an automated result.$2.24

How 96127 has changed in New Mexico

96127 · Office / nonfacility

$4.69

Effective 2026-10-01

The base rate is $0.49 higher than on 2025-10-01, moving from $4.20 to $4.69 (11.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $4.20changed to$4.69

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.13 changed to 0.14
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $4.32changed to$4.20

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $4.25changed to$4.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $4.37changed to$4.25

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $4.43changed to$4.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $4.47changed to$4.43

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $4.70changed to$4.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $5.10changed to$4.70

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $6.09changed to$5.10

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.17 changed to 0.14

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $5.38changed to$6.09

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.15 changed to 0.17
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $5.02changed to$5.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.14 changed to 0.15
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $5.04changed to$5.02

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $5.02changed to$5.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$5.02

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$4.69Not available in this settingRVU26D
2026-07-01$4.69Not available in this settingRVU26C
2026-04-01$4.69Not available in this settingRVU26B
2026-01-01$4.69Not available in this settingRVU26A
2025-10-01$4.20Not available in this settingRVU25D
2025-07-01$4.20Not available in this settingRVU25C
2025-04-01$4.20Not available in this settingRVU25B
2025-01-01$4.20Not available in this settingRVU25A
2024-10-01$4.32Not available in this settingRVU24D
2024-07-01$4.32Not available in this settingRVU24C
2024-04-01$4.32Not available in this settingRVU24B
2024-03-09$4.32Not available in this settingRVU24AR
2024-01-01$4.25Not available in this settingRVU24A
2023-10-01$4.37Not available in this settingRVU23D
2023-07-01$4.37Not available in this settingRVU23C
2023-04-01$4.37Not available in this settingRVU23B
2023-01-01$4.37Not available in this settingRVU23A
2022-10-01$4.43Not available in this settingRVU22D
2022-07-01$4.43Not available in this settingRVU22C
2022-04-01$4.43Not available in this settingRVU22B
2022-01-01$4.43Not available in this settingRVU22A
2021-10-01$4.47Not available in this settingRVU21D
2021-07-01$4.47Not available in this settingRVU21C
2021-04-01$4.47Not available in this settingRVU21B
2021-01-01$4.47Not available in this settingRVU21A
2020-10-01$4.70Not available in this settingRVU20D
2020-07-01$4.70Not available in this settingRVU20C
2020-04-01$4.70Not available in this settingRVU20B
2020-01-01$4.70Not available in this settingRVU20A
2019-10-01$5.10Not available in this settingRVU19D
2019-07-01$5.10Not available in this settingRVU19C
2019-04-01$5.10Not available in this settingRVU19B
2019-01-01$5.10Not available in this settingRVU19A
2018-10-01$6.09Not available in this settingRVU18D
2018-07-01$6.09Not available in this settingRVU18C
2018-04-01$6.09Not available in this settingRVU18B
2018-01-01$6.09Not available in this settingRVU18AR1
2017-10-01$5.38Not available in this settingRVU17D
2017-07-01$5.38Not available in this settingRVU17C
2017-04-01$5.38Not available in this settingRVU17B
2017-01-01$5.38Not available in this settingRVU17A
2016-10-01$5.02Not available in this settingRVU16D
2016-07-01$5.02Not available in this settingRVU16C
2016-04-01$5.02Not available in this settingRVU16B
2016-01-01$5.02Not available in this settingRVU16A
2015-10-01$5.04Not available in this settingRVU15D
2015-07-01$5.04Not available in this settingRVU15C
2015-04-01$5.02Not available in this settingRVU15B
2015-01-01$5.02Not available in this settingRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 96127 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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
RVUs for 96127PPRRVU2026_Oct_nonQPP.csv, line 12,754 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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