CPT code 96136: Test administration, physician or QHP, first 30 minutes2026 Medicare rate & RVUs in Mississippi

Report this code for the first 30 minutes of a physician's or qualified health care professional's administration and scoring of two or more psychological or neuropsychological tests.

CMS RVU26DEffective Oct 1, 2026One payment locality172.7K Medicare services in 2024

In Mississippi, Medicare pays $40.15 for 96136 in the office and $20.88 when it’s performed in a hospital or facility.

$40.15Office (non-facility)
$20.88Hospital or facility
−8.2%vs the national office rate ($43.76)

Check a contract rate as a % of Medicare · 96136 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 96136 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 96136 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 96136 covers

A physician or other qualified health care professional reports this service when personally administering and scoring two or more standardized psychological or neuropsychological tests. Examples include instruments assessing memory, attention, language, executive function, or personality. Psychologists and neuropsychologists commonly perform the work in outpatient offices, hospitals, and other settings where a clinical evaluation is conducted. The service is the test-taking and scoring work, not the later integration of findings into an interpretation and report.

Use 96136 for the first 30 minutes of the professional's administration and scoring time; use 96137 for additional time. The record should identify the tests, who administered and scored them, the time devoted to that work, and the clinical purpose. When a technician performs the administration and scoring, the corresponding codes are 96138 and 96139 instead. Separate psychological or neuropsychological test evaluation may be reported when the clinician also performs that distinct interpretation and reporting work.

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 96136

Across 109 of 109 payment localities, the office rate for 96136 runs from $39.95 in Arkansas to $56.39 in San Benito County, CA. Mississippi pays $40.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

96136 in Mississippi vs other payment areas
  1. Mississippi · this page$40.15
  2. Los Angeles, CA · California$48.81+$8.66
  3. Washington, DC area · District of Columbia$49.22+$9.07
  4. Miami, FL · Florida$45.79+$5.64
  5. Chicago, IL · Illinois$44.87+$4.72
  6. Manhattan, NY · New York$49.33+$9.18
  7. Alaska · Alaska$54.25+$14.10

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

Every other payment area

96136 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$40.38$20.79
ArkansasArkansas$39.95$20.72
ArizonaArizona$42.89$21.21
Bakersfield, CACalifornia$46.22$21.69
Chico, CACalifornia$46.13$21.60
El Centro, CACalifornia$46.13$21.61
Fresno, CACalifornia$46.13$21.60
Hanford, CACalifornia$46.13$21.60

96136 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.

$39.95

$54.25

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

View every state and territory as a table
96136 office rate range by state
State / territoryOffice rate rangeLocalities
AK$54.251
AL$40.381
AR$39.951
AZ$42.891
CA$46.13–$56.3929
CO$45.411
CT$46.171
DC$49.221
DE$43.481
FL$43.00–$45.793
GA$41.21–$44.342
GU$46.861
HI$46.861
IA$41.251
ID$41.431
IL$41.98–$45.074
IN$41.611
KS$41.051
KY$40.951
LA$40.88–$42.392
MA$45.22–$49.232
MD$44.18–$49.223
ME$41.53–$43.292
MI$41.69–$43.352
MN$44.001
MO$40.33–$42.573
MS$40.151
MT$43.751
NC$41.861
ND$43.361
NE$41.441
NH$44.691
NJ$46.83–$48.912
NM$41.841
NV$43.671
NY$42.32–$50.175
OH$41.611
OK$40.961
OR$43.46–$46.622
PA$41.69–$45.232
PR$44.021
RI$44.851
SC$41.781
SD$43.311
TN$41.201
TX$41.48–$45.158
UT$42.201
VA$43.14–$49.222
VI$44.021
VT$43.181
WA$45.14–$50.162
WI$42.251
WV$40.811
WY$43.581

See 96136 in every payment locality

How the 96136 rate is calculated

Each of 96136’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 · 96136

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.55

0.55 RVUs× 1.000 GPCI

Practice expense0.74

0.74 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.3100

Conversion factor

$33.4009

Medicare rate

$43.76

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

12,759

Code
96136
Physician work
0.55
Practice expense
0.74
Malpractice
0.02

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 96136 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.55× 1.0000.5500
Practice expense0.74× 0.8610.6371
Malpractice0.02× 0.7390.0148
Total RVUs1.2019
Conversion factor× 33.4009

Office rate, Mississippi$40.15

Office: (0.55 × 1 + 0.74 × 0.861 + 0.02 × 0.739) × $33.4009 = $40.15

Facility: (0.55 × 1 + 0.07 × 0.861 + 0.02 × 0.739) × $33.4009 = $20.88

Open 96136 in the RVU calculator

Payment rules and modifiers for 96136

96136 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 · 96136

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$43.76

Non-facility (office)
$43.76
Facility
$21.38

Higher because the practice carries its own overhead.

How 96136 has changed in Mississippi

96136 · Office / nonfacility

$40.15

Effective 2026-10-01

The base rate is $2.87 higher than on 2025-10-01, moving from $37.28 to $40.15 (7.7%).

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

    $37.28changed to$40.15

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.68 changed to 0.74
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $38.10changed to$37.28

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $37.48changed to$38.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $38.93changed to$37.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.69 changed to 0.68
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $40.65changed to$38.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.71 changed to 0.69
    • Malpractice RVU 0.04 changed to 0.02
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $42.16changed to$40.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.75 changed to 0.71

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $43.58changed to$42.16

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $43.74changed to$43.58

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$43.74

    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$40.15$20.88RVU26D
2026-07-01$40.15$20.88RVU26C
2026-04-01$40.15$20.88RVU26B
2026-01-01$40.15$20.88RVU26A
2025-10-01$37.28$21.84RVU25D
2025-07-01$37.28$21.84RVU25C
2025-04-01$37.28$21.84RVU25B
2025-01-01$37.28$21.84RVU25A
2024-10-01$38.10$22.22RVU24D
2024-07-01$38.10$22.22RVU24C
2024-04-01$38.10$22.22RVU24B
2024-03-09$38.10$22.22RVU24AR
2024-01-01$37.48$21.86RVU24A
2023-10-01$38.93$22.57RVU23D
2023-07-01$38.93$22.57RVU23C
2023-04-01$38.93$22.57RVU23B
2023-01-01$38.93$22.57RVU23A
2022-10-01$40.65$23.17RVU22D
2022-07-01$40.65$23.17RVU22C
2022-04-01$40.65$23.17RVU22B
2022-01-01$40.65$23.17RVU22A
2021-10-01$42.16$23.36RVU21D
2021-07-01$42.16$23.36RVU21C
2021-04-01$42.16$23.36RVU21B
2021-01-01$42.16$23.36RVU21A
2020-10-01$43.58$24.12RVU20D
2020-07-01$43.58$24.12RVU20C
2020-04-01$43.58$24.12RVU20B
2020-01-01$43.58$24.12RVU20A
2019-10-01$43.74$23.98RVU19D
2019-07-01$43.74$23.98RVU19C
2019-04-01$43.74$23.98RVU19B
2019-01-01$43.74$23.98RVU19A
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 96136 for an earlier date of service

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

Browse all communities in Mississippi

96136 billing questions

When should 96136 be used instead of 96137?

96136 represents the first 30 minutes of physician or qualified health care professional test administration and scoring. Report 96137 for additional time.

Does the code require more than one test?

Yes. The service covers administration and scoring of two or more psychological or neuropsychological tests; document the instruments performed.

Can 96136 be reported with a test evaluation code?

It may be reported with 96130 or 96132 when the clinician also performs the distinct interpretation, integration, and reporting work represented by the evaluation service.

What if a technician administers and scores the tests?

Use 96138 for the technician's first 30 minutes and 96139 for additional time, rather than 96136 and 96137.

What time should the record support?

Document the time spent by the physician or qualified health care professional administering and scoring the tests. Do not count interpretation and report time as administration time.

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 96136PPRRVU2026_Oct_nonQPP.csv, line 12,759 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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