CPT code 96161: Health risk assessment, caregiver-focused instrument2026 Medicare rate & RVUs in Mississippi

In Mississippi, Medicare pays $2.88 for 96161 in the office.

Check a contract rate as a % of Medicare · 96161 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 96161 covers

This service covers a standardized health risk instrument completed by a patient’s caregiver for the patient’s benefit, followed by scoring and documentation. A typical example is a caregiver completing a depression or stress screening during a child’s visit. The instrument concerns the caregiver’s health risks as they relate to the patient’s care; it is not a general clinical evaluation of the caregiver for the caregiver’s own treatment. The service may be provided in an office or another setting where the patient is receiving care.

Choose this code when the caregiver-focused instrument is administered, scored, and documented, rather than when the patient completes the instrument. Record the instrument used, who completed it, the score or result, and its relevance to the patient’s care. CMS treats this as an add-on code: report it only with a primary procedure, and payment falls within that procedure’s global period. It is an incident-to service and may be billed only when performed under physician supervision.

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 96161

Across 109 of 109 payment localities, the office rate for 96161 runs from $2.87 in Arkansas to $4.82 in Santa Clara County, CA. Mississippi pays $2.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

96161 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 96161 in every payment locality

How the 96161 rate is calculated

Each of 96161’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.

Payment rules and modifiers for 96161

The CMS indicators that decide how 96161 is paid alongside other services.

Codes related to 96161

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 96161 has changed in Mississippi

Price 96161 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

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

Open CMS sourceHow we calculate rates