CPT code 96137: Test administration, additional physician/QHP time2026 Medicare rate & RVUs in Florida
Reports each additional 30 minutes of psychological or neuropsychological test administration and scoring performed by a physician or qualified health care professional.
Medicare pays $36.12–$37.97 for 96137 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 96137 covers
Code 96137 represents each additional 30 minutes of psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, after the initial 30 minutes. It fits standardized testing such as memory, attention, intellectual, or personality measures when a psychologist, neuropsychologist, or other eligible clinician personally administers and scores the tests. These services may occur in behavioral health, neurology, rehabilitation, or specialty assessment settings to evaluate concerns such as cognitive change, brain injury, or emotional functioning.
Report 96137 with 96136 for the same testing service; it is an add-on and is not reported by itself. CMS pays it within the primary procedure's global period. Documentation should identify the tests, the clinician who administered and scored them, and the time attributable to those tasks. Keep test administration and scoring time distinct from interpretation, integration, clinical decision-making, and reporting, which are evaluation services.
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.
Where 96137 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$36.12 to $37.97
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $37.36 | $16.38 |
| Miami, FL | $37.97 | $16.41 |
| Rest of Florida | $36.12 | $16.32 |
How the 96137 rate is calculated
Each of 96137’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 · 96137
RVUs × geographic indexes × conversion factor
Work0.46
0.46 RVUs× 1.000 GPCI
Practice expense0.65
0.65 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
1.1100
Conversion factor
$33.4009
Medicare rate
$37.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 96137
The CMS indicators that decide how 96137 is paid alongside other services.
CMS payment indicators · 96137
Test administration, additional physician/QHP time
| 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. |
96137 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 96136Test administrationPhysician or QHP, first 30 minutes
- 96136 covers the initial 30 minutes of physician or qualified health care professional test administration and scoring; 96137 covers each additional 30 minutes.
- 96139Psychology testingTechnician, each additional 30 minutes
- 96139 represents additional administration and scoring performed by a technician. Use 96137 when the physician or qualified health care professional performs those tasks.
- 96131Psychological testingEach additional hour
- 96131 reports additional psychological test evaluation time, such as interpretation and reporting, rather than additional test administration and scoring.
- 96133Neuropsychological evaluationEach additional hour
- 96133 reports additional neuropsychological test evaluation time, not additional administration and scoring time.
96137 billing questions
What primary code must accompany 96137?
Report 96137 with 96136 for the same psychological or neuropsychological testing service. It is an add-on code, not a stand-alone service.
How does 96137 differ from 96136?
96136 represents the initial 30 minutes of physician or qualified health care professional test administration and scoring. 96137 represents each additional 30 minutes.
When should 96139 be used instead?
Use 96139 for additional test administration and scoring time performed by a technician. 96137 is for time performed by a physician or other qualified health care professional.
Can test interpretation and the report be included in 96137 time?
96137 captures administration and scoring time. Interpretation, integration of results, clinical decision-making, and reporting are evaluation services, represented by codes such as 96130 or 96132.
What documentation supports reporting 96137?
Document the tests administered and scored, the clinician performing those tasks, and the time attributable to them. The record should support that this is additional time beyond the initial service reported with 96136.
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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