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CMS RVU26D · Effective 2026-10-01

96146 Automated testing Medicare reimbursement rates in Massachusetts

Report this service when a patient completes one standardized psychological or neuropsychological instrument electronically and the platform generates the result automatically. Compare 96146 office and facility rates across CMS payment localities in Massachusetts.

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 96146 in Massachusetts?

Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$2.38–$2.69

2 of 2 localities have a supported rate.

Lowest: Rest Of Massachusetts

Highest: Metropolitan Boston

A spread of $0.31 per service.

Facility setting

No supported rate

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.

Find 96146 in your payment locality →

Psychological testing

About 96146: Automated psychological test administration

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

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. In the CMS physician fee schedule facts provided, the code has no work RVUs, with practice expense RVUs of 0.06 and malpractice RVUs of 0.01.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU0.06 · 86%
  • Malpractice RVU0.01 · 14%

8.8K

Medicare services in 2024 · #1544 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.

96146 compared with similar codes

Office rates for Massachusetts, from the same CMS release.

96127

Behavioral screening tool

Per scored standardized instrument

$5.19–$5.88

Choose 96146 for a standardized instrument administered electronically with an automated result. Choose 96127 for a brief emotional or behavioral assessment with scoring and documentation.

96136

Test administration

Physician or QHP, first 30 minutes

$45.22–$49.23

96136 describes test administration by a qualified health care professional. 96146 describes electronic administration with an automated result.

96138

Psychological testing

Technician, first 30 minutes

$39.66–$44.96

96138 describes test administration by a technician. Use 96146 when the electronic platform administers the instrument and generates the result.

96130

Psychological evaluation

First hour

$126.55–$133.96

96130 represents professional psychological test evaluation, not the automated administration itself. Report it only for separately performed evaluation work.

Compare 96146 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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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 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 96146PPRRVU2026_Oct_nonQPP.csv, line 12,763 (RVU26D)