$127.50
96130 represents psychological testing evaluation; 96132 represents neuropsychological testing evaluation. Choose according to the nature of the evaluation, not merely the test format.
On this page
CMS RVU26D · Effective 2026-10-01
96132 Neuropsychological evaluation Medicare reimbursement rates in Guam
Reports a physician or qualified health care professional’s first hour of interpreting neuropsychological findings and integrating them into clinical conclusions and a plan. Compare 96132 office and facility rates across CMS payment localities in Guam.
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.
What does Medicare pay for 96132 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$125.98
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$99.01
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neuropsychology
About 96132: Neuropsychological testing evaluation, first hour
Reports a physician or qualified health care professional’s first hour of interpreting neuropsychological findings and integrating them into clinical conclusions and a plan.
A physician or other qualified health care professional reports this service for professional evaluation of neuropsychological findings, such as cognitive test results considered alongside the patient’s history, records, and clinical presentation. It is used when a diagnostic question calls for synthesis of cognitive functioning—for example, evaluating changes after a brain injury or assessing suspected cognitive impairment. The work may include record review, interpretation, clinical decision-making, treatment planning, and preparation of the report. It is distinct from administering and scoring the tests themselves.
Report 96132 for the first hour of the physician’s or qualified professional’s evaluation work; report additional time with 96133 when supported. Documentation should identify the clinical question, relevant data reviewed, interpretation and conclusions, plan, report, and time spent on the evaluation service. The CMS physician fee schedule assigns work, practice expense, and malpractice RVU inputs, with separate office and facility practice expense inputs. Test administration and scoring may be reported separately when performed and documented as distinct services.
Where the value comes from
- Work RVU2.56 · 70%
- Practice expense (office) RVU1.03 · 28%
- Malpractice RVU0.07 · 2%
298.1K
Medicare services in 2024 · #312 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.
96132 compared with similar codes
Office rates for Guam, from the same CMS release.
$101.93
96133 reports additional evaluation time after the first hour represented by 96132.
$46.86
96136 covers physician or qualified professional test administration and scoring; 96132 covers the professional evaluation and synthesis of findings.
$42.73
96138 covers test administration and scoring by a technician. It does not represent the physician’s or qualified professional’s evaluation work reported with 96132.
Compare 96132 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$125.98
Facility
$99.01
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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 96132 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
12,757
- Code
- 96132
- Physician work
- 2.56
- Practice expense
- 1.03
- Malpractice
- 0.07
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.56 | × 1.000 | 2.5600 |
| Practice expense | 1.03 | × 1.137 | 1.1711 |
| Malpractice | 0.07 | × 0.579 | 0.0405 |
| Total RVUs | 3.7716 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$125.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 1.03 | 1.137 |
| Malpractice | 0.07 | 0.579 |
(2.56 × 1 + 1.03 × 1.137 + 0.07 × 0.579) × $33.4009 = $125.98
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 0.32 | 1.137 |
| Malpractice | 0.07 | 0.579 |
(2.56 × 1 + 0.32 × 1.137 + 0.07 × 0.579) × $33.4009 = $99.01
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.
96132 billing questions
When should 96132 be used instead of 96130?
Use 96132 for professional evaluation of neuropsychological findings; 96130 is for psychological testing evaluation. The distinction is the type of evaluation, not simply whether standardized tests were used.
How is additional evaluation time reported?
96132 represents the first hour. Report 96133 for additional evaluation time when the documentation supports it.
Does 96132 include test administration and scoring?
It represents the professional evaluation and synthesis of findings, not the separate administration and scoring work. When those services are performed and documented, the applicable administration and scoring code may also be reported.
What documentation supports 96132?
Document the clinical question, records and test findings considered, professional interpretation, clinical conclusions, plan or recommendations, report, and time spent on the evaluation.
Can 96132 be reported with 96136 or 96138?
They represent different work: 96132 is the professional evaluation, while 96136 and 96138 represent test administration and scoring by a physician or qualified professional and by a technician, respectively. Report only services actually performed and documented.
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.
12,75496127,,Brief emotional/behav assmt,A,,0.00,0.14,,0.14,NA,0.01,0.15,0.15,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,75596130,,Psycl tst eval phys/qhp 1st,A,,2.56,1.06,,0.33,,0.09,3.71,2.98,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,75696131,,Psycl tst eval phys/qhp ea,A,,1.96,0.62,,0.13,,0.01,2.59,2.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,75796132,,Nrpsyc tst eval phys/qhp 1st,A,,2.56,1.03,,0.32,,0.07,3.66,2.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,75896133,,Nrpsyc tst eval phys/qhp ea,A,,1.96,0.95,,0.13,,0.02,2.93,2.11,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,75996136,,Psycl/nrpsyc tst phy/qhp 1st,A,,0.55,0.74,,0.07,,0.02,1.31,0.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,76096137,,Psycl/nrpsyc tst phy/qhp ea,A,,0.46,0.65,,0.03,,0.00,1.11,0.49,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014