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CPT code 96133: Neuropsychological evaluation, each additional hour2026 Medicare rate & RVUs in North Carolina

Reports additional physician or qualified health care professional time integrating neuropsychological data, interpreting results, making clinical decisions, and preparing a report.

CMS RVU26DEffective Oct 1, 2026One payment locality407.9K Medicare services in 2024

In North Carolina, Medicare pays $95.50 for 96133 in the office and $69.94 when it’s performed in a hospital or facility.

$95.50Office (non-facility)
$69.94Hospital or facility
−2.4%vs the national office rate ($97.86)

Check a contract rate as a % of Medicare · 96133 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 96133 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 96133 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 96133 covers

A neuropsychologist, clinical psychologist, or other qualified health care professional uses this code for additional time evaluating neuropsychological test findings and related clinical information. The work may support assessment of cognitive changes associated with conditions such as traumatic brain injury, stroke, dementia, or epilepsy. It includes integrating patient data, interpreting standardized test results, clinical decision-making, treatment planning, and report preparation—not simply administering or scoring tests.

Report 96133 only with the primary first-hour service, 96132. Documentation should identify the evaluation activities and support the additional time billed, including interpretation, integration, decisions, planning, and reporting. Test administration and scoring may be represented by separate testing codes when those services are performed and meet reporting requirements. This add-on is paid within the primary procedure’s global period.

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 North Carolina compares for 96133

Across 109 of 109 payment localities, the office rate for 96133 runs from $93.07 in Arkansas to $132.36 in Alaska. North Carolina pays $95.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

96133 in North Carolina vs other payment areas
  1. North Carolina · this page$95.50
  2. Los Angeles, CA · California$106.13+$10.63
  3. Washington, DC area · District of Columbia$107.12+$11.62
  4. Miami, FL · Florida$100.19+$4.69
  5. Chicago, IL · Illinois$99.35+$3.85
  6. Manhattan, NY · New York$107.59+$12.09
  7. Alaska · Alaska$132.36+$36.86

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

96133 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$93.61$69.64
ArkansasArkansas$93.07$69.54
ArizonaArizona$96.78$70.25
Bakersfield, CACalifornia$101.89$71.88
Chico, CACalifornia$101.71$71.70
El Centro, CACalifornia$101.72$71.70
Fresno, CACalifornia$101.71$71.70
Hanford, CACalifornia$101.71$71.70

96133 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$93.07

$132.36

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
96133 office rate range by state
State / territoryOffice rate rangeLocalities
AK$132.361
AL$93.611
AR$93.071
AZ$96.781
CA$101.71–$118.7829
CO$100.531
CT$101.761
DC$107.121
DE$97.741
FL$96.80–$100.193
GA$94.57–$98.702
GU$101.931
HI$101.931
IA$94.761
ID$94.971
IL$95.48–$99.704
IN$95.201
KS$94.491
KY$94.291
LA$94.19–$96.082
MA$100.46–$106.632
MD$98.85–$107.123
ME$95.07–$97.332
MI$95.19–$97.212
MN$98.311
MO$93.47–$96.343
MS$93.281
MT$97.861
NC$95.501
ND$97.471
NE$95.011
NH$99.081
NJ$103.47–$107.112
NM$95.371
NV$97.781
NY$96.08–$108.625
OH$95.111
OK$94.321
OR$97.54–$102.262
PA$95.23–$100.472
PR$98.201
RI$100.081
SC$95.351
SD$97.421
TN$94.671
TX$94.96–$99.768
UT$95.891
VA$97.13–$107.122
VI$98.201
VT$97.221
WA$100.24–$108.222
WI$96.071
WV$94.001
WY$97.691

See 96133 in every payment locality

How the 96133 rate is calculated

Each of 96133’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 · 96133

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.96

1.96 RVUs× 1.000 GPCI

Practice expense0.95

0.95 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.9300

Conversion factor

$33.4009

Medicare rate

$97.86

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,758

Code
96133
Physician work
1.96
Practice expense
0.95
Malpractice
0.02

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 96133 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.96× 1.0001.9600
Practice expense0.95× 0.9330.8863
Malpractice0.02× 0.6390.0128
Total RVUs2.8591
Conversion factor× 33.4009

Office rate, North Carolina$95.50

Office: (1.96 × 1 + 0.95 × 0.933 + 0.02 × 0.639) × $33.4009 = $95.50

Facility: (1.96 × 1 + 0.13 × 0.933 + 0.02 × 0.639) × $33.4009 = $69.94

Open 96133 in the RVU calculator

Payment rules and modifiers for 96133

The CMS indicators that decide how 96133 is paid alongside other services.

CMS payment indicators · 96133

Neuropsychological evaluation, each additional hour

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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/technical0Physician service: no professional/technical split.

Codes related to 96133

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

Codes related to 96133
CodeHow it relatesOffice range, North Carolina
Primary code
96132Neuropsychological evaluation, first hourPrimary first-hour neuropsychological evaluation service required with 96133.$119.10
Used instead
96131Psychological testing, each additional hourAdditional-hour psychological testing evaluation when the service is psychological rather than neuropsychological.$85.00
Often billed with
96136Test administration, physician or QHP, first 30 minutesMay represent physician or qualified professional test administration and scoring during the testing episode.$41.86
96137Test administration, additional physician/QHP timeAdditional physician or qualified professional test administration and scoring time.$35.62
96138Psychological testing, technician, first 30 minutesMay represent technician-performed test administration and scoring during the testing episode.$35.12
96139Psychology testing, technician, each additional 30 minutesAdditional technician-performed test administration and scoring time.$33.03

How 96133 has changed in North Carolina

96133 · Office / nonfacility

$95.50

Effective 2026-10-01

The base rate is $4.58 higher than on 2025-10-01, moving from $90.92 to $95.50 (5.0%).

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

    $90.92changed to$95.50

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.89 changed to 0.95
    • Malpractice RVU 0.04 changed to 0.02
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $94.40changed to$90.92

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.91 changed to 0.89
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $92.86changed to$94.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $96.33changed to$92.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.92 changed to 0.91
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $99.96changed to$96.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.93 changed to 0.92
    • Malpractice RVU 0.08 changed to 0.04
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $101.19changed to$99.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.96 changed to 0.93
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $99.77changed to$101.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.80 changed to 0.96
    • Malpractice RVU 0.08 changed to 0.06
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $99.23changed to$99.77

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$99.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$95.50$69.94RVU26D
2026-07-01$95.50$69.94RVU26C
2026-04-01$95.50$69.94RVU26B
2026-01-01$95.50$69.94RVU26A
2025-10-01$90.92$71.75RVU25D
2025-07-01$90.92$71.75RVU25C
2025-04-01$90.92$71.75RVU25B
2025-01-01$90.92$71.75RVU25A
2024-10-01$94.40$74.06RVU24D
2024-07-01$94.40$74.06RVU24C
2024-04-01$94.40$74.06RVU24B
2024-03-09$94.40$74.06RVU24AR
2024-01-01$92.86$72.85RVU24A
2023-10-01$96.33$75.59RVU23D
2023-07-01$96.33$75.59RVU23C
2023-04-01$96.33$75.59RVU23B
2023-01-01$96.33$75.59RVU23A
2022-10-01$99.96$78.45RVU22D
2022-07-01$99.96$78.45RVU22C
2022-04-01$99.96$78.45RVU22B
2022-01-01$99.96$78.45RVU22A
2021-10-01$101.19$78.85RVU21D
2021-07-01$101.19$78.85RVU21C
2021-04-01$101.19$78.85RVU21B
2021-01-01$101.19$78.85RVU21A
2020-10-01$99.77$82.99RVU20D
2020-07-01$99.77$82.99RVU20C
2020-04-01$99.77$82.99RVU20B
2020-01-01$99.77$82.99RVU20A
2019-10-01$99.23$82.46RVU19D
2019-07-01$99.23$82.46RVU19C
2019-04-01$99.23$82.46RVU19B
2019-01-01$99.23$82.46RVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
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 96133 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

96133 billing questions

Can 96133 be reported by itself?

No. It is an add-on to 96132, the primary first-hour neuropsychological evaluation service.

How is 96133 different from 96137?

96133 covers additional evaluation work such as integrating findings and preparing a report. 96137 represents additional physician or qualified health care professional time administering and scoring tests.

What documentation supports an additional unit?

Document the evaluation work performed and the time supporting the additional service, such as interpretation of test results, integration of clinical data, decision-making, treatment planning, and reporting.

Does 96133 include test administration?

It represents evaluation and interpretation work, not test administration itself. When separately performed and reportable, administration and scoring may be represented with codes such as 96136–96139.

Which code is used for psychological rather than neuropsychological evaluation?

96131 is the additional-hour code for psychological testing evaluation. Use 96133 when the work is neuropsychological testing evaluation.

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 96133PPRRVU2026_Oct_nonQPP.csv, line 12,758 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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