CPT code 96133: Neuropsychological evaluation, each additional hour2026 Medicare rate & RVUs in Puerto Rico
Reports additional physician or qualified health care professional time integrating neuropsychological data, interpreting results, making clinical decisions, and preparing a report.
In Puerto Rico, Medicare pays $98.20 for 96133 in the office and $70.51 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Puerto Rico 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. Puerto Rico pays $98.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$98.20
- Los Angeles, CA · California$106.13+$7.93
- Washington, DC area · District of Columbia$107.12+$8.92
- Miami, FL · Florida$100.19+$1.99
- Chicago, IL · Illinois$99.35+$1.15
- Manhattan, NY · New York$107.59+$9.39
- Alaska · Alaska$132.36+$34.16
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $101.71 | $71.70 |
| Merced, CACalifornia | $101.71 | $71.70 |
| Modesto, CACalifornia | $101.71 | $71.70 |
| Napa, CACalifornia | $111.75 | $75.65 |
| Oxnard, CACalifornia | $105.22 | $72.85 |
| Redding, CACalifornia | $101.71 | $71.70 |
| Rest of CaliforniaCalifornia | $101.71 | $71.70 |
| Riverside, CACalifornia | $101.99 | $71.97 |
| Sacramento, CACalifornia | $105.08 | $73.23 |
| Salinas, CACalifornia | $104.63 | $72.89 |
| San Diego, CACalifornia | $105.74 | $72.98 |
| Marin County, CACalifornia | $116.73 | $78.11 |
| San Francisco, CACalifornia | $116.71 | $78.09 |
| San Benito County, CACalifornia | $118.78 | $79.29 |
| Santa Clara County, CACalifornia | $118.69 | $79.19 |
| San Luis Obispo, CACalifornia | $103.08 | $71.88 |
| Santa Cruz, CACalifornia | $105.75 | $72.47 |
| Santa Maria, CACalifornia | $104.66 | $72.72 |
| Santa Rosa, CACalifornia | $106.75 | $73.12 |
| Stockton, CACalifornia | $101.71 | $71.70 |
| Vallejo, CACalifornia | $111.72 | $75.62 |
| Visalia, CACalifornia | $101.71 | $71.70 |
| Yuba City, CACalifornia | $101.71 | $71.70 |
| ColoradoColorado | $100.53 | $71.39 |
| ConnecticutConnecticut | $101.76 | $72.26 |
| DelawareDelaware | $97.74 | $70.68 |
| Fort Lauderdale, FLFlorida | $98.82 | $71.07 |
| Rest of FloridaFlorida | $96.80 | $70.62 |
| Atlanta, GAGeorgia | $98.70 | $70.88 |
| Rest of GeorgiaGeorgia | $94.57 | $70.14 |
| Hawaii, Guam, HIHawaii | $101.93 | $70.79 |
| IowaIowa | $94.76 | $69.70 |
| IdahoIdaho | $94.97 | $69.78 |
| East St. Louis, ILIllinois | $96.00 | $70.81 |
| Rest of IllinoisIllinois | $95.48 | $70.47 |
| Suburban Chicago, ILIllinois | $99.70 | $71.57 |
| IndianaIndiana | $95.20 | $69.82 |
| KansasKansas | $94.49 | $69.73 |
| KentuckyKentucky | $94.29 | $69.94 |
| New Orleans, LALouisiana | $96.08 | $70.31 |
| Rest of LouisianaLouisiana | $94.19 | $69.95 |
| Metropolitan Boston, MAMassachusetts | $106.63 | $73.93 |
| Rest of MassachusettsMassachusetts | $100.46 | $71.62 |
| Baltimore area, MDMaryland | $101.39 | $72.00 |
| Rest of MarylandMaryland | $98.85 | $71.13 |
| Rest of MaineMaine | $95.07 | $69.88 |
| Southern Maine, MEMaine | $97.33 | $70.19 |
| Detroit, MIMichigan | $97.21 | $70.78 |
| Rest of MichiganMichigan | $95.19 | $70.18 |
| MinnesotaMinnesota | $98.31 | $70.13 |
| Metropolitan Kansas City, MOMissouri | $95.91 | $70.20 |
| Metropolitan St. Louis, MOMissouri | $96.34 | $70.27 |
| Rest of MissouriMissouri | $93.47 | $69.86 |
| MississippiMississippi | $93.28 | $69.70 |
| MontanaMontana | $97.86 | $70.47 |
| North CarolinaNorth Carolina | $95.50 | $69.94 |
| North DakotaNorth Dakota | $97.47 | $70.08 |
| NebraskaNebraska | $95.01 | $69.73 |
| New HampshireNew Hampshire | $99.08 | $70.57 |
| Northern New JerseyNew Jersey | $107.11 | $75.34 |
| Rest of New JerseyNew Jersey | $103.47 | $73.56 |
| New MexicoNew Mexico | $95.37 | $70.25 |
| NevadaNevada | $97.78 | $70.37 |
| NYC suburbs and Long Island, NYNew York | $108.62 | $76.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $103.97 | $73.97 |
| Queens, NYNew York | $108.12 | $75.75 |
| Rest of New YorkNew York | $96.08 | $70.06 |
| OhioOhio | $95.11 | $70.10 |
| OklahomaOklahoma | $94.32 | $69.86 |
| Portland, OROregon | $102.26 | $71.83 |
| Rest of OregonOregon | $97.54 | $70.26 |
| Metropolitan Philadelphia, PAPennsylvania | $100.47 | $71.96 |
| Rest of PennsylvaniaPennsylvania | $95.23 | $70.08 |
| Rhode IslandRhode Island | $100.08 | $71.79 |
| South CarolinaSouth Carolina | $95.35 | $70.05 |
| South DakotaSouth Dakota | $97.42 | $70.03 |
| TennesseeTennessee | $94.67 | $69.77 |
| Austin, TXTexas | $99.76 | $70.78 |
| Beaumont, TXTexas | $94.96 | $70.04 |
| Brazoria, TXTexas | $97.96 | $70.81 |
| Dallas, TXTexas | $98.23 | $70.95 |
| Fort Worth, TXTexas | $97.92 | $70.92 |
| Galveston, TXTexas | $98.05 | $70.85 |
| Houston, TXTexas | $98.42 | $71.22 |
| Rest of TexasTexas | $96.18 | $70.19 |
| UtahUtah | $95.89 | $70.15 |
| VirginiaVirginia | $97.13 | $70.21 |
| Virgin Islands, VIUnited States Virgin Islands | $98.20 | $70.51 |
| VermontVermont | $97.22 | $70.10 |
| Rest of WashingtonWashington | $100.24 | $71.40 |
| King County, WAWashington | $108.22 | $74.61 |
| WisconsinWisconsin | $96.07 | $69.83 |
| West VirginiaWest Virginia | $94.00 | $70.19 |
| WyomingWyoming | $97.69 | $70.30 |
96133 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.
$93.07
$132.36
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 | $132.36 | 1 |
| AL | $93.61 | 1 |
| AR | $93.07 | 1 |
| AZ | $96.78 | 1 |
| CA | $101.71–$118.78 | 29 |
| CO | $100.53 | 1 |
| CT | $101.76 | 1 |
| DC | $107.12 | 1 |
| DE | $97.74 | 1 |
| FL | $96.80–$100.19 | 3 |
| GA | $94.57–$98.70 | 2 |
| GU | $101.93 | 1 |
| HI | $101.93 | 1 |
| IA | $94.76 | 1 |
| ID | $94.97 | 1 |
| IL | $95.48–$99.70 | 4 |
| IN | $95.20 | 1 |
| KS | $94.49 | 1 |
| KY | $94.29 | 1 |
| LA | $94.19–$96.08 | 2 |
| MA | $100.46–$106.63 | 2 |
| MD | $98.85–$107.12 | 3 |
| ME | $95.07–$97.33 | 2 |
| MI | $95.19–$97.21 | 2 |
| MN | $98.31 | 1 |
| MO | $93.47–$96.34 | 3 |
| MS | $93.28 | 1 |
| MT | $97.86 | 1 |
| NC | $95.50 | 1 |
| ND | $97.47 | 1 |
| NE | $95.01 | 1 |
| NH | $99.08 | 1 |
| NJ | $103.47–$107.11 | 2 |
| NM | $95.37 | 1 |
| NV | $97.78 | 1 |
| NY | $96.08–$108.62 | 5 |
| OH | $95.11 | 1 |
| OK | $94.32 | 1 |
| OR | $97.54–$102.26 | 2 |
| PA | $95.23–$100.47 | 2 |
| PR | $98.20 | 1 |
| RI | $100.08 | 1 |
| SC | $95.35 | 1 |
| SD | $97.42 | 1 |
| TN | $94.67 | 1 |
| TX | $94.96–$99.76 | 8 |
| UT | $95.89 | 1 |
| VA | $97.13–$107.12 | 2 |
| VI | $98.20 | 1 |
| VT | $97.22 | 1 |
| WA | $100.24–$108.22 | 2 |
| WI | $96.07 | 1 |
| WV | $94.00 | 1 |
| WY | $97.69 | 1 |
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
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 Puerto Rico 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
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.96 | × 1.000 | 1.9600 |
| Practice expense | 0.95 | × 1.011 | 0.9604 |
| Malpractice | 0.02 | × 0.985 | 0.0197 |
| Total RVUs | 2.9401 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$98.20
Office: (1.96 × 1 + 0.95 × 1.011 + 0.02 × 0.985) × $33.4009 = $98.20
Facility: (1.96 × 1 + 0.13 × 1.011 + 0.02 × 0.985) × $33.4009 = $70.51
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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 | 0 | Physician service: no professional/technical split. |
How 96133 has changed in Puerto Rico
96133 · Office / nonfacility
$98.20
Effective 2026-10-01
The base rate is $4.54 higher than on 2025-10-01, moving from $93.66 to $98.20 (4.8%).
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
$93.66changed to$98.20
- 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 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$97.38changed to$93.66
- 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.
March 9, 2024
RVU24AR
$95.79changed to$97.38
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$99.18changed to$95.79
- 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 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$98.95changed to$99.18
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$103.00changed to$98.95
- 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 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$104.22changed to$103.00
- 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.
January 1, 2021
RVU21A
$102.69changed to$104.22
- 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
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$102.17changed to$102.69
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.07 changed to 0.08
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$102.17
Held through RVU19B, RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $98.20 | $70.51 | RVU26D |
| 2026-07-01 | $98.20 | $70.51 | RVU26C |
| 2026-04-01 | $98.20 | $70.51 | RVU26B |
| 2026-01-01 | $98.20 | $70.51 | RVU26A |
| 2025-10-01 | $93.66 | $72.81 | RVU25D |
| 2025-07-01 | $93.66 | $72.81 | RVU25C |
| 2025-04-01 | $93.66 | $72.81 | RVU25B |
| 2025-01-01 | $93.66 | $72.81 | RVU25A |
| 2024-10-01 | $97.38 | $75.26 | RVU24D |
| 2024-07-01 | $97.38 | $75.26 | RVU24C |
| 2024-04-01 | $97.38 | $75.26 | RVU24B |
| 2024-03-09 | $97.38 | $75.26 | RVU24AR |
| 2024-01-01 | $95.79 | $74.03 | RVU24A |
| 2023-10-01 | $99.18 | $76.63 | RVU23D |
| 2023-07-01 | $98.95 | $76.59 | RVU23C |
| 2023-04-01 | $98.95 | $76.59 | RVU23B |
| 2023-01-01 | $98.95 | $76.59 | RVU23A |
| 2022-10-01 | $103.00 | $79.63 | RVU22D |
| 2022-07-01 | $103.00 | $79.63 | RVU22C |
| 2022-04-01 | $103.00 | $79.63 | RVU22B |
| 2022-01-01 | $103.00 | $79.63 | RVU22A |
| 2021-10-01 | $104.22 | $79.95 | RVU21D |
| 2021-07-01 | $104.22 | $79.95 | RVU21C |
| 2021-04-01 | $104.22 | $79.95 | RVU21B |
| 2021-01-01 | $104.22 | $79.95 | RVU21A |
| 2020-10-01 | $102.69 | $84.50 | RVU20D |
| 2020-07-01 | $102.69 | $84.50 | RVU20C |
| 2020-04-01 | $102.69 | $84.50 | RVU20B |
| 2020-01-01 | $102.69 | $84.50 | RVU20A |
| 2019-10-01 | $102.17 | $84.02 | RVU19D |
| 2019-07-01 | $102.17 | $84.02 | RVU19C |
| 2019-04-01 | $102.17 | $84.02 | RVU19B |
| 2019-01-01 | $102.17 | $84.02 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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 Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
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
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