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CMS RVU26D · Effective 2026-10-01

96161 in El Centro

Office / nonfacility

$3.66

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Health behavior assessment

About 96161: Caregiver-focused health risk assessment

Report a scored, documented standardized health risk instrument completed by a caregiver to identify risks relevant to the patient’s care.

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.

CMS billing rules for 96161

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Incident-to service: billed only when performed under physician supervision.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU0.10 · 100%
  • Malpractice RVU0.00 · 0%

7.3K

Medicare services in 2024 · #1634 by national volume

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.

96161 compared with similar codes

Office rates for El Centro, from the same CMS release.

96160

Health risk assessment

Patient-focused instrument

$3.29

Use 96161 when the caregiver completes the health risk instrument for the patient’s benefit. Use 96160 when the patient is the focus of the instrument.

96127

Behavioral screening tool

Per scored standardized instrument

$5.31

96127 is a brief emotional or behavioral assessment of the patient. 96161 concerns a caregiver-focused health risk instrument.

96156

Health behavior assessment

Assessment or reassessment

$111.17

96156 describes a health behavior assessment or reassessment. 96161 is specifically for a standardized health risk instrument completed by the caregiver.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 96161 is $3.66—the same base rate than the $3.66 rate in El Centro. Both use the same code, release and participation basis.

96161 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $3.66

  2. The same base rate than El Centro

  3. Chico

    $3.66

    The same base rate than El Centro

  4. Fresno

    $3.66

    The same base rate than El Centro

  5. The same base rate than El Centro

  6. $0.29 higher than El Centro

  7. Madera

    $3.66

    The same base rate than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 96161 ranges from $2.87 in Arkansas to $4.82 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Merced

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Napa

    California · 96161

    Office

    $4.40

    Facility

    Unavailable

    $0.74 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 96161

    Office

    $3.95

    Facility

    Unavailable

    $0.29 higher than El Centro for the office setting.

  • Redding

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 96161

    Office

    $3.88

    Facility

    Unavailable

    $0.22 higher than El Centro for the office setting.

  • Salinas

    California · 96161

    Office

    $3.87

    Facility

    Unavailable

    $0.21 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 96161

    Office

    $3.99

    Facility

    Unavailable

    $0.33 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 96161

    Office

    $4.71

    Facility

    Unavailable

    $1.05 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 96161

    Office

    $4.71

    Facility

    Unavailable

    $1.05 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 96161

    Office

    $4.82

    Facility

    Unavailable

    $1.16 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 96161

    Office

    $4.82

    Facility

    Unavailable

    $1.16 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 96161

    Office

    $3.80

    Facility

    Unavailable

    $0.14 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 96161

    Office

    $4.06

    Facility

    Unavailable

    $0.40 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 96161

    Office

    $3.89

    Facility

    Unavailable

    $0.23 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 96161

    Office

    $4.10

    Facility

    Unavailable

    $0.44 higher than El Centro for the office setting.

  • Stockton

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 96161

    Office

    $4.40

    Facility

    Unavailable

    $0.74 higher than El Centro for the office setting.

  • Visalia

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 96161

    Office

    $3.93

    Facility

    Unavailable

    $0.27 higher than El Centro for the office setting.

  • Miami

    Florida · 96161

    Office

    $3.48

    Facility

    Unavailable

    $0.18 lower than El Centro for the office setting.

  • Chicago

    Illinois · 96161

    Office

    $3.36

    Facility

    Unavailable

    $0.30 lower than El Centro for the office setting.

  • Manhattan

    New York · 96161

    Office

    $3.88

    Facility

    Unavailable

    $0.22 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 96161

    Office

    $3.56

    Facility

    Unavailable

    $0.10 lower than El Centro for the office setting.

  • Alabama

    Alabama · 96161

    Office

    $2.92

    Facility

    Unavailable

    $0.74 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 96161

    Office

    $2.87

    Facility

    Unavailable

    $0.79 lower than El Centro for the office setting.

  • Arizona

    Arizona · 96161

    Office

    $3.24

    Facility

    Unavailable

    $0.42 lower than El Centro for the office setting.

  • Colorado

    Colorado · 96161

    Office

    $3.55

    Facility

    Unavailable

    $0.11 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 96161

    Office

    $3.60

    Facility

    Unavailable

    $0.06 lower than El Centro for the office setting.

  • Delaware

    Delaware · 96161

    Office

    $3.30

    Facility

    Unavailable

    $0.36 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 96161

    Office

    $3.38

    Facility

    Unavailable

    $0.28 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 96161

    Office

    $3.19

    Facility

    Unavailable

    $0.47 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 96161

    Office

    $3.39

    Facility

    Unavailable

    $0.27 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 96161

    Office

    $2.98

    Facility

    Unavailable

    $0.68 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 96161

    Office

    $3.80

    Facility

    Unavailable

    $0.14 higher than El Centro for the office setting.

  • Iowa

    Iowa · 96161

    Office

    $3.06

    Facility

    Unavailable

    $0.60 lower than El Centro for the office setting.

  • Idaho

    Idaho · 96161

    Office

    $3.07

    Facility

    Unavailable

    $0.59 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 96161

    Office

    $3.07

    Facility

    Unavailable

    $0.59 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 96161

    Office

    $3.05

    Facility

    Unavailable

    $0.61 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 96161

    Office

    $3.43

    Facility

    Unavailable

    $0.23 lower than El Centro for the office setting.

  • Indiana

    Indiana · 96161

    Office

    $3.10

    Facility

    Unavailable

    $0.56 lower than El Centro for the office setting.

  • Kansas

    Kansas · 96161

    Office

    $3.02

    Facility

    Unavailable

    $0.64 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 96161

    Office

    $2.97

    Facility

    Unavailable

    $0.69 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 96161

    Office

    $3.14

    Facility

    Unavailable

    $0.52 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 96161

    Office

    $2.96

    Facility

    Unavailable

    $0.70 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 96161

    Office

    $3.99

    Facility

    Unavailable

    $0.33 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 96161

    Office

    $3.52

    Facility

    Unavailable

    $0.14 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 96161

    Office

    $3.58

    Facility

    Unavailable

    $0.08 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 96161

    Office

    $3.38

    Facility

    Unavailable

    $0.28 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 96161

    Office

    $3.07

    Facility

    Unavailable

    $0.59 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 96161

    Office

    $3.31

    Facility

    Unavailable

    $0.35 lower than El Centro for the office setting.

  • Detroit

    Michigan · 96161

    Office

    $3.22

    Facility

    Unavailable

    $0.44 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 96161

    Office

    $3.05

    Facility

    Unavailable

    $0.61 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 96161

    Office

    $3.44

    Facility

    Unavailable

    $0.22 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 96161

    Office

    $3.14

    Facility

    Unavailable

    $0.52 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 96161

    Office

    $3.18

    Facility

    Unavailable

    $0.48 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 96161

    Office

    $2.88

    Facility

    Unavailable

    $0.78 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 96161

    Office

    $2.88

    Facility

    Unavailable

    $0.78 lower than El Centro for the office setting.

  • Montana**

    Montana · 96161

    Office

    $3.34

    Facility

    Unavailable

    $0.32 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 96161

    Office

    $3.12

    Facility

    Unavailable

    $0.54 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 96161

    Office

    $3.34

    Facility

    Unavailable

    $0.32 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 96161

    Office

    $3.08

    Facility

    Unavailable

    $0.58 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 96161

    Office

    $3.48

    Facility

    Unavailable

    $0.18 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 96161

    Office

    $3.87

    Facility

    Unavailable

    $0.21 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 96161

    Office

    $3.65

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • New Mexico

    New Mexico · 96161

    Office

    $3.06

    Facility

    Unavailable

    $0.60 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 96161

    Office

    $3.34

    Facility

    Unavailable

    $0.32 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 96161

    Office

    $3.97

    Facility

    Unavailable

    $0.31 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 96161

    Office

    $3.66

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Queens

    New York · 96161

    Office

    $3.95

    Facility

    Unavailable

    $0.29 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 96161

    Office

    $3.17

    Facility

    Unavailable

    $0.49 lower than El Centro for the office setting.

  • Ohio

    Ohio · 96161

    Office

    $3.05

    Facility

    Unavailable

    $0.61 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 96161

    Office

    $2.98

    Facility

    Unavailable

    $0.68 lower than El Centro for the office setting.

  • Portland

    Oregon · 96161

    Office

    $3.71

    Facility

    Unavailable

    $0.05 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 96161

    Office

    $3.33

    Facility

    Unavailable

    $0.33 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 96161

    Office

    $3.48

    Facility

    Unavailable

    $0.18 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 96161

    Office

    $3.07

    Facility

    Unavailable

    $0.59 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 96161

    Office

    $3.38

    Facility

    Unavailable

    $0.28 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 96161

    Office

    $3.45

    Facility

    Unavailable

    $0.21 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 96161

    Office

    $3.09

    Facility

    Unavailable

    $0.57 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 96161

    Office

    $3.34

    Facility

    Unavailable

    $0.32 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 96161

    Office

    $3.04

    Facility

    Unavailable

    $0.62 lower than El Centro for the office setting.

  • Austin

    Texas · 96161

    Office

    $3.53

    Facility

    Unavailable

    $0.13 lower than El Centro for the office setting.

  • Beaumont

    Texas · 96161

    Office

    $3.04

    Facility

    Unavailable

    $0.62 lower than El Centro for the office setting.

  • Brazoria

    Texas · 96161

    Office

    $3.31

    Facility

    Unavailable

    $0.35 lower than El Centro for the office setting.

  • Dallas

    Texas · 96161

    Office

    $3.33

    Facility

    Unavailable

    $0.33 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 96161

    Office

    $3.29

    Facility

    Unavailable

    $0.37 lower than El Centro for the office setting.

  • Galveston

    Texas · 96161

    Office

    $3.32

    Facility

    Unavailable

    $0.34 lower than El Centro for the office setting.

  • Houston

    Texas · 96161

    Office

    $3.32

    Facility

    Unavailable

    $0.34 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 96161

    Office

    $3.17

    Facility

    Unavailable

    $0.49 lower than El Centro for the office setting.

  • Utah

    Utah · 96161

    Office

    $3.14

    Facility

    Unavailable

    $0.52 lower than El Centro for the office setting.

  • Virginia

    Virginia · 96161

    Office

    $3.28

    Facility

    Unavailable

    $0.38 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 96161

    Office

    $3.38

    Facility

    Unavailable

    $0.28 lower than El Centro for the office setting.

  • Vermont

    Vermont · 96161

    Office

    $3.31

    Facility

    Unavailable

    $0.35 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 96161

    Office

    $3.52

    Facility

    Unavailable

    $0.14 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 96161

    Office

    $4.10

    Facility

    Unavailable

    $0.44 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 96161

    Office

    $3.20

    Facility

    Unavailable

    $0.46 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 96161

    Office

    $2.90

    Facility

    Unavailable

    $0.76 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 96161

    Office

    $3.34

    Facility

    Unavailable

    $0.32 lower than El Centro for the office setting.

See how rates vary across the country

96161 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$2.87

$4.24

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$3.561
AL$2.921
AR$2.871
AZ$3.241
CA$3.66–$4.8229
CO$3.551
CT$3.601
DC$3.931
DE$3.301
FL$3.19–$3.483
GA$2.98–$3.392
GU$3.801
HI$3.801
IA$3.061
ID$3.071
IL$3.05–$3.434
IN$3.101
KS$3.021
KY$2.971
LA$2.96–$3.142
MA$3.52–$3.992
MD$3.38–$3.933
ME$3.07–$3.312
MI$3.05–$3.222
MN$3.441
MO$2.88–$3.183
MS$2.881
MT$3.341
NC$3.121
ND$3.341
NE$3.081
NH$3.481
NJ$3.65–$3.872
NM$3.061
NV$3.341
NY$3.17–$3.975
OH$3.051
OK$2.981
OR$3.33–$3.712
PA$3.07–$3.482
PR$3.381
RI$3.451
SC$3.091
SD$3.341
TN$3.041
TX$3.04–$3.538
UT$3.141
VA$3.28–$3.932
VI$3.381
VT$3.311
WA$3.52–$4.102
WI$3.201
WV$2.901
WY$3.341

Explore 96161 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 96161 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$4.03

$3.66 × 110% = $4.03

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 96161 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,768

Code
96161
Physician work
0.00
Practice expense
0.10
Malpractice
0.00

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 96161 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0170.0000
Practice expense0.10× 1.0960.1096
Malpractice0.00× 0.5410.0000
Total RVUs0.1096
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$3.66

Open 96161 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.017
Practice expense0.11.096
Malpractice00.541

(0 × 1.017 + 0.1 × 1.096 + 0 × 0.541) × $33.4009 = $3.66

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

96161 · Office / nonfacility

$3.66

Effective 2026-10-01

The base rate is $0.48 higher than on 2025-10-01, moving from $3.18 to $3.66 (15.1%).

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

    $3.18changed to$3.66

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.09 changed to 0.10
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $3.18

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$3.66Not available in this settingRVU26D
2026-07-01$3.66Not available in this settingRVU26C
2026-04-01$3.66Not available in this settingRVU26B
2026-01-01$3.66Not available in this settingRVU26A
2025-10-01$3.18Not available in this settingRVU25D
2025-07-01$3.18Not available in this settingRVU25C
2025-04-01$3.18Not available in this settingRVU25B
2025-01-01$3.18Not available in this settingRVU25A

96161 billing questions

How is 96161 different from 96160?

96161 is for a health risk instrument completed by the caregiver for the patient’s benefit. 96160 is for an instrument focused on the patient.

Can 96161 be submitted by itself?

No. CMS identifies it as an add-on code, so the claim must include a primary procedure.

Does the caregiver have to complete a standardized instrument?

Yes. The service requires a caregiver-focused standardized health risk instrument, with scoring and documentation.

What documentation supports reporting 96161?

Document the instrument, the caregiver who completed it, the score or result, and how the information relates to the patient’s care.

Can practice staff perform this service?

It may be billed as an incident-to service only when performed under physician supervision.

Is 96161’s payment separate from the primary procedure’s global period?

CMS places payment for this add-on within the primary procedure’s global period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 96161PPRRVU2026_Oct_nonQPP.csv, line 12,768 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)