CPT code 96146: Automated testing, single instrument, automated result2026 Medicare rate & RVUs in Miami, FL

Report this service when a patient completes one standardized psychological or neuropsychological instrument electronically and the platform generates the result automatically.

CMS RVU26DEffective Oct 1, 2026One payment locality8.8K Medicare services in 2024

In Miami, FL, Medicare pays $2.93 for 96146 in the office.

$2.93Office (non-facility)
Not available in this settingHospital or facility
+25.2%vs the national office rate ($2.34)

Check a contract rate as a % of Medicare · 96146 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 96146 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 96146 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 96146 covers

This service covers a patient’s completion of one standardized psychological or neuropsychological instrument through an electronic platform that produces an automated result. It may be part of an assessment for behavioral health symptoms or cognitive concerns. The platform, rather than a clinician or technician administering the test, conducts the instrument and generates the result. A clinician may select the instrument and use its result in the patient’s broader evaluation, but this code does not represent professional interpretation of the findings.

Report one unit for each distinct automated instrument supported by the record. Documentation should identify the instrument, the clinical reason for using it, and that it was completed electronically with an automated result. The service’s scope includes the automated administration and result; separately performed professional evaluation or interpretation is distinct work and needs its own supporting documentation. The code has no work RVUs, with practice expense RVUs of 0.06 and malpractice RVUs of 0.01.

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 Miami, FL compares for 96146

Across 109 of 109 payment localities, the office rate for 96146 runs from $1.89 in Arkansas to $3.07 in San Benito County, CA. Miami, FL pays $2.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

96146 in Miami, FL vs other payment areas
  1. Miami, FL · this page$2.93
  2. Fort Lauderdale, FL · Florida$2.63−$0.30
  3. Rest of Florida · Florida$2.42−$0.51
  4. Los Angeles, CA · California$2.59−$0.34
  5. Washington, DC area · District of Columbia$2.73−$0.20
  6. Chicago, IL · Illinois$2.78−$0.15
  7. Manhattan, NY · New York$2.86−$0.07

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

Every other payment area

96146 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$2.32—
AlabamaAlabama$1.94—
ArkansasArkansas$1.89—
ArizonaArizona$2.23—
Bakersfield, CACalifornia$2.40—
Chico, CACalifornia$2.38—
El Centro, CACalifornia$2.38—
Fresno, CACalifornia$2.38—

96146 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.

$1.89

$2.73

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

View every state and territory as a table
96146 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2.321
AL$1.941
AR$1.891
AZ$2.231
CA$2.38–$3.0729
CO$2.391
CT$2.561
DC$2.731
DE$2.281
FL$2.42–$2.933
GA$2.19–$2.442
GU$2.471
HI$2.471
IA$1.971
ID$2.001
IL$2.35–$2.784
IN$2.021
KS$1.981
KY$2.091
LA$2.09–$2.272
MA$2.38–$2.692
MD$2.33–$2.733
ME$2.05–$2.202
MI$2.21–$2.502
MN$2.161
MO$2.05–$2.243
MS$1.971
MT$2.341
NC$2.081
ND$2.141
NE$1.981
NH$2.381
NJ$2.55–$2.682
NM$2.241
NV$2.281
NY$2.14–$3.005
OH$2.171
OK$2.051
OR$2.23–$2.482
PA$2.16–$2.482
PR$2.361
RI$2.371
SC$2.141
SD$2.121
TN$2.001
TX$2.13–$2.458
UT$2.181
VA$2.21–$2.732
VI$2.361
VT$2.151
WA$2.36–$2.732
WI$2.021
WV$2.221
WY$2.251

See 96146 in every payment locality

How the 96146 rate is calculated

Each of 96146’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 · 96146

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.06

0.06 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.0700

Conversion factor

$33.4009

Medicare rate

$2.34

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,763

Code
96146
Physician work
0.00
Practice expense
0.06
Malpractice
0.01

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 96146 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.06× 1.0410.0625
Malpractice0.01× 2.5290.0253
Total RVUs0.0877
Conversion factor× 33.4009

Office rate, Miami, FL$2.93

Office: (0 × 1 + 0.06 × 1.041 + 0.01 × 2.529) × $33.4009 = $2.93

Open 96146 in the RVU calculator

Payment rules and modifiers for 96146

96146 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 · 96146

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$2.34

Higher because the practice carries its own overhead.

How 96146 has changed in Miami, FL

96146 · Office / nonfacility

$2.93

Effective 2026-10-01

The base rate is $0.13 higher than on 2025-10-01, moving from $2.80 to $2.93 (4.6%).

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

    $2.80changed to$2.93

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2.88changed to$2.80

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2.84changed to$2.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2.95changed to$2.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $2.68changed to$2.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.05 changed to 0.06
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2.70changed to$2.68

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $2.79changed to$2.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $2.78changed to$2.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$2.78

    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$2.93Not available in this settingRVU26D
2026-07-01$2.93Not available in this settingRVU26C
2026-04-01$2.93Not available in this settingRVU26B
2026-01-01$2.93Not available in this settingRVU26A
2025-10-01$2.80Not available in this settingRVU25D
2025-07-01$2.80Not available in this settingRVU25C
2025-04-01$2.80Not available in this settingRVU25B
2025-01-01$2.80Not available in this settingRVU25A
2024-10-01$2.88Not available in this settingRVU24D
2024-07-01$2.88Not available in this settingRVU24C
2024-04-01$2.88Not available in this settingRVU24B
2024-03-09$2.88Not available in this settingRVU24AR
2024-01-01$2.84Not available in this settingRVU24A
2023-10-01$2.95Not available in this settingRVU23D
2023-07-01$2.95Not available in this settingRVU23C
2023-04-01$2.95Not available in this settingRVU23B
2023-01-01$2.95Not available in this settingRVU23A
2022-10-01$2.68Not available in this settingRVU22D
2022-07-01$2.68Not available in this settingRVU22C
2022-04-01$2.68Not available in this settingRVU22B
2022-01-01$2.68Not available in this settingRVU22A
2021-10-01$2.70Not available in this settingRVU21D
2021-07-01$2.70Not available in this settingRVU21C
2021-04-01$2.70Not available in this settingRVU21B
2021-01-01$2.70Not available in this settingRVU21A
2020-10-01$2.79Not available in this settingRVU20D
2020-07-01$2.79Not available in this settingRVU20C
2020-04-01$2.79Not available in this settingRVU20B
2020-01-01$2.79Not available in this settingRVU20A
2019-10-01$2.78Not available in this settingRVU19D
2019-07-01$2.78Not available in this settingRVU19C
2019-04-01$2.78Not available in this settingRVU19B
2019-01-01$2.78Not available in this settingRVU19A
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 96146 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

96146 billing questions

How is this different from 96127?

96146 is for one standardized instrument completed through an electronic platform with an automatically generated result. 96127 describes a brief emotional or behavioral assessment with scoring and documentation, rather than this specific automated administration method.

Can a clinician separately bill for interpreting the automated result?

Professional test evaluation is distinct from automated administration. A separately performed evaluation may be reported with an applicable evaluation code when its required work is documented.

When should 96136 or 96138 be used instead?

Those codes describe test administration by a qualified health care professional or technician, respectively. Use 96146 when the instrument is administered electronically and produces an automated result.

How many units can be reported?

Each unit represents one automated instrument. The record should identify each distinct instrument administered.

What documentation supports 96146?

Record the instrument used, the clinical purpose, and that the patient completed it electronically with an automatically generated result.

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 96146PPRRVU2026_Oct_nonQPP.csv, line 12,763 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 96146 pays in Miami, FL?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 96146 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist