CPT code 96138: Psychological testing, technician, first 30 minutes2026 Medicare rate & RVUs in New Mexico
Reports the first 30 minutes of technician administration and scoring for a battery of at least two psychological or neuropsychological tests.
In New Mexico, Medicare pays $34.71 for 96138 in the office.
Check a contract rate as a % of Medicare · 96138 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 96138 covers
A psychometrist or other trained testing technician administers and scores standardized instruments that assess psychological or neuropsychological functions, such as memory, attention, or emotional and behavioral functioning. Typical referrals include cognitive concerns after neurologic illness, suspected learning or attention problems, and diagnostic clarification of mood or behavior symptoms. The technician performs the testing under the direction of a physician or other qualified health professional in an office or facility.
Report 96138 for the initial 30 minutes of technician time spent administering and scoring at least two tests. Use 96139 for additional technician time in 30-minute increments. Documentation should identify the tests, technician, time, results, and supervising professional, and support the clinical reason for testing. When a qualified health professional performs the test administration and scoring, consider 96136 instead. CMS assigns no physician-work RVU to 96138; its relative values include practice expense and malpractice components.
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 96138
Across 109 of 109 payment localities, the office rate for 96138 runs from $32.31 in Arkansas to $54.12 in San Benito County, CA. New Mexico pays $34.71. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$34.71
- Los Angeles, CA · California$44.48+$9.77
- Washington, DC area · District of Columbia$44.44+$9.73
- Miami, FL · Florida$39.79+$5.08
- Chicago, IL · Illinois$38.36+$3.65
- Manhattan, NY · New York$44.00+$9.29
- Alaska · Alaska$40.02+$5.31
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $32.92 | — |
| ArkansasArkansas | $32.31 | — |
| ArizonaArizona | $36.54 | — |
| Bakersfield, CACalifornia | $41.20 | — |
| Chico, CACalifornia | $41.18 | — |
| El Centro, CACalifornia | $41.18 | — |
| Fresno, CACalifornia | $41.18 | — |
| Hanford, CACalifornia | $41.18 | — |
| Madera, CACalifornia | $41.18 | — |
| Merced, CACalifornia | $41.18 | — |
| Modesto, CACalifornia | $41.18 | — |
| Napa, CACalifornia | $49.47 | — |
| Oxnard, CACalifornia | $44.43 | — |
| Redding, CACalifornia | $41.18 | — |
| Rest of CaliforniaCalifornia | $41.18 | — |
| Riverside, CACalifornia | $41.29 | — |
| Sacramento, CACalifornia | $43.69 | — |
| Salinas, CACalifornia | $43.54 | — |
| San Diego, CACalifornia | $44.92 | — |
| Marin County, CACalifornia | $52.90 | — |
| San Francisco, CACalifornia | $52.89 | — |
| San Benito County, CACalifornia | $54.12 | — |
| Santa Clara County, CACalifornia | $54.08 | — |
| San Luis Obispo, CACalifornia | $42.79 | — |
| Santa Cruz, CACalifornia | $45.63 | — |
| Santa Maria, CACalifornia | $43.80 | — |
| Santa Rosa, CACalifornia | $46.12 | — |
| Stockton, CACalifornia | $41.18 | — |
| Vallejo, CACalifornia | $49.46 | — |
| Visalia, CACalifornia | $41.18 | — |
| Yuba City, CACalifornia | $41.18 | — |
| ColoradoColorado | $40.06 | — |
| ConnecticutConnecticut | $40.69 | — |
| DelawareDelaware | $37.26 | — |
| Fort Lauderdale, FLFlorida | $38.50 | — |
| Rest of FloridaFlorida | $36.27 | — |
| Atlanta, GAGeorgia | $38.41 | — |
| Rest of GeorgiaGeorgia | $33.77 | — |
| Hawaii, Guam, HIHawaii | $42.73 | — |
| IowaIowa | $34.36 | — |
| IdahoIdaho | $34.57 | — |
| East St. Louis, ILIllinois | $35.09 | — |
| Rest of IllinoisIllinois | $34.68 | — |
| Suburban Chicago, ILIllinois | $39.01 | — |
| IndianaIndiana | $34.84 | — |
| KansasKansas | $33.99 | — |
| KentuckyKentucky | $33.56 | — |
| New Orleans, LALouisiana | $35.58 | — |
| Rest of LouisianaLouisiana | $33.43 | — |
| Metropolitan Boston, MAMassachusetts | $44.96 | — |
| Rest of MassachusettsMassachusetts | $39.66 | — |
| Baltimore area, MDMaryland | $40.55 | — |
| Rest of MarylandMaryland | $38.16 | — |
| Rest of MaineMaine | $34.62 | — |
| Southern Maine, MEMaine | $37.28 | — |
| Detroit, MIMichigan | $36.66 | — |
| Rest of MichiganMichigan | $34.53 | — |
| MinnesotaMinnesota | $38.59 | — |
| Metropolitan Kansas City, MOMissouri | $35.45 | — |
| Metropolitan St. Louis, MOMissouri | $35.95 | — |
| Rest of MissouriMissouri | $32.57 | — |
| MississippiMississippi | $32.46 | — |
| MontanaMontana | $37.74 | — |
| North CarolinaNorth Carolina | $35.12 | — |
| North DakotaNorth Dakota | $37.54 | — |
| NebraskaNebraska | $34.65 | — |
| New HampshireNew Hampshire | $39.24 | — |
| Northern New JerseyNew Jersey | $43.75 | — |
| Rest of New JerseyNew Jersey | $41.22 | — |
| NevadaNevada | $37.72 | — |
| NYC suburbs and Long Island, NYNew York | $45.10 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $41.37 | — |
| Queens, NYNew York | $44.70 | — |
| Rest of New YorkNew York | $35.77 | — |
| OhioOhio | $34.49 | — |
| OklahomaOklahoma | $33.67 | — |
| Portland, OROregon | $41.81 | — |
| Rest of OregonOregon | $37.49 | — |
| Metropolitan Philadelphia, PAPennsylvania | $39.34 | — |
| Rest of PennsylvaniaPennsylvania | $34.66 | — |
| Puerto RicoPuerto Rico | $38.15 | — |
| Rhode IslandRhode Island | $38.94 | — |
| South CarolinaSouth Carolina | $34.85 | — |
| South DakotaSouth Dakota | $37.52 | — |
| TennesseeTennessee | $34.18 | — |
| Austin, TXTexas | $39.87 | — |
| Beaumont, TXTexas | $34.35 | — |
| Brazoria, TXTexas | $37.33 | — |
| Dallas, TXTexas | $37.55 | — |
| Fort Worth, TXTexas | $37.18 | — |
| Galveston, TXTexas | $37.42 | — |
| Houston, TXTexas | $37.61 | — |
| Rest of TexasTexas | $35.80 | — |
| UtahUtah | $35.46 | — |
| VirginiaVirginia | $37.01 | — |
| Virgin Islands, VIUnited States Virgin Islands | $38.15 | — |
| VermontVermont | $37.20 | — |
| Rest of WashingtonWashington | $39.65 | — |
| King County, WAWashington | $46.17 | — |
| WisconsinWisconsin | $35.94 | — |
| West VirginiaWest Virginia | $32.99 | — |
| WyomingWyoming | $37.66 | — |
96138 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.
$32.31
$47.65
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 | $40.02 | 1 |
| AL | $32.92 | 1 |
| AR | $32.31 | 1 |
| AZ | $36.54 | 1 |
| CA | $41.18–$54.12 | 29 |
| CO | $40.06 | 1 |
| CT | $40.69 | 1 |
| DC | $44.44 | 1 |
| DE | $37.26 | 1 |
| FL | $36.27–$39.79 | 3 |
| GA | $33.77–$38.41 | 2 |
| GU | $42.73 | 1 |
| HI | $42.73 | 1 |
| IA | $34.36 | 1 |
| ID | $34.57 | 1 |
| IL | $34.68–$39.01 | 4 |
| IN | $34.84 | 1 |
| KS | $33.99 | 1 |
| KY | $33.56 | 1 |
| LA | $33.43–$35.58 | 2 |
| MA | $39.66–$44.96 | 2 |
| MD | $38.16–$44.44 | 3 |
| ME | $34.62–$37.28 | 2 |
| MI | $34.53–$36.66 | 2 |
| MN | $38.59 | 1 |
| MO | $32.57–$35.95 | 3 |
| MS | $32.46 | 1 |
| MT | $37.74 | 1 |
| NC | $35.12 | 1 |
| ND | $37.54 | 1 |
| NE | $34.65 | 1 |
| NH | $39.24 | 1 |
| NJ | $41.22–$43.75 | 2 |
| NM | $34.71 | 1 |
| NV | $37.72 | 1 |
| NY | $35.77–$45.10 | 5 |
| OH | $34.49 | 1 |
| OK | $33.67 | 1 |
| OR | $37.49–$41.81 | 2 |
| PA | $34.66–$39.34 | 2 |
| PR | $38.15 | 1 |
| RI | $38.94 | 1 |
| SC | $34.85 | 1 |
| SD | $37.52 | 1 |
| TN | $34.18 | 1 |
| TX | $34.35–$39.87 | 8 |
| UT | $35.46 | 1 |
| VA | $37.01–$44.44 | 2 |
| VI | $38.15 | 1 |
| VT | $37.20 | 1 |
| WA | $39.65–$46.17 | 2 |
| WI | $35.94 | 1 |
| WV | $32.99 | 1 |
| WY | $37.66 | 1 |
How the 96138 rate is calculated
Each of 96138’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 · 96138
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense1.12
1.12 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.1300
Conversion factor
$33.4009
Medicare rate
$37.74
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
12,761
- Code
- 96138
- Physician work
- 0.00
- Practice expense
- 1.12
- Malpractice
- 0.01
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.12 | × 0.917 | 1.0270 |
| Malpractice | 0.01 | × 1.201 | 0.0120 |
| Total RVUs | 1.0391 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$34.71
Office: (0 × 1 + 1.12 × 0.917 + 0.01 × 1.201) × $33.4009 = $34.71
Payment rules and modifiers for 96138
96138 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 · 96138
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$37.74
Higher because the practice carries its own overhead.
How 96138 has changed in New Mexico
96138 · Office / nonfacility
$34.71
Effective 2026-10-01
The base rate is $4.08 higher than on 2025-10-01, moving from $30.63 to $34.71 (13.3%).
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
$30.63changed to$34.71
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.03 changed to 1.12
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$31.22changed to$30.63
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.02 changed to 1.03
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$30.71changed to$31.22
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$30.96changed to$30.71
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.00 changed to 1.02
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$31.72changed to$30.96
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.01 changed to 1.00
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$33.55changed to$31.72
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.06 changed to 1.01
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$35.17changed to$33.55
- 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.
January 1, 2020
RVU20A
$35.96changed to$35.17
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.07 changed to 1.06
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$35.96
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 | $34.71 | Not available in this setting | RVU26D |
| 2026-07-01 | $34.71 | Not available in this setting | RVU26C |
| 2026-04-01 | $34.71 | Not available in this setting | RVU26B |
| 2026-01-01 | $34.71 | Not available in this setting | RVU26A |
| 2025-10-01 | $30.63 | Not available in this setting | RVU25D |
| 2025-07-01 | $30.63 | Not available in this setting | RVU25C |
| 2025-04-01 | $30.63 | Not available in this setting | RVU25B |
| 2025-01-01 | $30.63 | Not available in this setting | RVU25A |
| 2024-10-01 | $31.22 | Not available in this setting | RVU24D |
| 2024-07-01 | $31.22 | Not available in this setting | RVU24C |
| 2024-04-01 | $31.22 | Not available in this setting | RVU24B |
| 2024-03-09 | $31.22 | Not available in this setting | RVU24AR |
| 2024-01-01 | $30.71 | Not available in this setting | RVU24A |
| 2023-10-01 | $30.96 | Not available in this setting | RVU23D |
| 2023-07-01 | $30.96 | Not available in this setting | RVU23C |
| 2023-04-01 | $30.96 | Not available in this setting | RVU23B |
| 2023-01-01 | $30.96 | Not available in this setting | RVU23A |
| 2022-10-01 | $31.72 | Not available in this setting | RVU22D |
| 2022-07-01 | $31.72 | Not available in this setting | RVU22C |
| 2022-04-01 | $31.72 | Not available in this setting | RVU22B |
| 2022-01-01 | $31.72 | Not available in this setting | RVU22A |
| 2021-10-01 | $33.55 | Not available in this setting | RVU21D |
| 2021-07-01 | $33.55 | Not available in this setting | RVU21C |
| 2021-04-01 | $33.55 | Not available in this setting | RVU21B |
| 2021-01-01 | $33.55 | Not available in this setting | RVU21A |
| 2020-10-01 | $35.17 | Not available in this setting | RVU20D |
| 2020-07-01 | $35.17 | Not available in this setting | RVU20C |
| 2020-04-01 | $35.17 | Not available in this setting | RVU20B |
| 2020-01-01 | $35.17 | Not available in this setting | RVU20A |
| 2019-10-01 | $35.96 | Not available in this setting | RVU19D |
| 2019-07-01 | $35.96 | Not available in this setting | RVU19C |
| 2019-04-01 | $35.96 | Not available in this setting | RVU19B |
| 2019-01-01 | $35.96 | Not available in this setting | 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 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
96138 billing questions
When should 96138 be chosen instead of 96136?
Use 96138 when a technician administers and scores the tests; use 96136 when a physician or other qualified health professional performs that work. The service covers at least two tests.
How is additional technician testing time reported?
96138 represents the initial 30 minutes. Report 96139 for additional technician testing time in 30-minute increments.
Can the professional interpretation and report be billed separately?
Yes, when performed and documented, the qualified health professional's interpretation and report may be reported separately, such as with 96130 for psychological testing or 96132 for neuropsychological testing.
What documentation supports 96138?
Record the tests administered, the technician's time and scoring work, results, supervising professional, and clinical reason for the testing.
Is 96138 the right code for a fully automated test?
Not when the service is a single automated test with an automated result. Code 96146 describes that different testing method; 96138 represents technician administration and scoring of at least two tests.
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
Fee sheets
Put 96138 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet