$35.99–$42.16
96136 is the first 30 minutes of physician or qualified professional administration and scoring; 96137 represents additional time.
On this page
CMS RVU26D · Effective 2026-10-01
96136 Test administration Medicare reimbursement rates in New York
Report this code for the first 30 minutes of a physician's or qualified health care professional's administration and scoring of two or more psychological or neuropsychological tests. Compare 96136 office and facility rates across CMS payment localities in New York.
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 96136 in New York?
New York has 5 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 5 payment areas shown below, using the same CMS release.
Office / nonfacility
$42.32–$50.17
5 of 5 localities have a supported rate.
Facility setting
$21.06–$23.57
5 of 5 localities have a 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.
Where 96136 pays more and less in New York
5 payment localities
$42.32 to $50.17
Psychological testing
About 96136: Psychological or neuropsychological test administration
Report this code for the first 30 minutes of a physician's or qualified health care professional's administration and scoring of two or more psychological or neuropsychological tests.
A physician or other qualified health care professional reports this service when personally administering and scoring two or more standardized psychological or neuropsychological tests. Examples include instruments assessing memory, attention, language, executive function, or personality. Psychologists and neuropsychologists commonly perform the work in outpatient offices, hospitals, and other settings where a clinical evaluation is conducted. The service is the test-taking and scoring work, not the later integration of findings into an interpretation and report.
Use 96136 for the first 30 minutes of the professional's administration and scoring time; use 96137 for additional time. The record should identify the tests, who administered and scored them, the time devoted to that work, and the clinical purpose. When a technician performs the administration and scoring, the corresponding codes are 96138 and 96139 instead. Separate psychological or neuropsychological test evaluation may be reported when the clinician also performs that distinct interpretation and reporting work.
Where the value comes from
- Work RVU0.55 · 42%
- Practice expense (office) RVU0.74 · 56%
- Malpractice RVU0.02 · 2%
172.7K
Medicare services in 2024 · #412 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.
96136 compared with similar codes
Office rates for New York, from the same CMS release.
$35.77–$45.10
Use 96136 when the physician or qualified professional performs the test administration and scoring. Use 96138 when a technician performs it.
$121.25–$138.66
96136 covers test administration and scoring. 96130 covers psychological test evaluation, including interpretation and reporting.
$2.14–$3.00
96136 describes professional-performed administration and scoring of two or more tests. 96146 is for automated test administration with an electronic result.
Compare 96136 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.
5 of 5 payment localities
Manhattan →
Office / nonfacility
$49.33
Facility
$23.32
Nyc Suburbs/Long Island →
Office / nonfacility
$50.17
Facility
$23.57
Poughkpsie/N Nyc Suburbs →
Office / nonfacility
$47.07
Facility
$22.57
Queens →
Office / nonfacility
$49.72
Facility
$23.27
Rest Of New York →
Office / nonfacility
$42.32
Facility
$21.06
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96136 billing questions
When should 96136 be used instead of 96137?
96136 represents the first 30 minutes of physician or qualified health care professional test administration and scoring. Report 96137 for additional time.
Does the code require more than one test?
Yes. The service covers administration and scoring of two or more psychological or neuropsychological tests; document the instruments performed.
Can 96136 be reported with a test evaluation code?
It may be reported with 96130 or 96132 when the clinician also performs the distinct interpretation, integration, and reporting work represented by the evaluation service.
What if a technician administers and scores the tests?
Use 96138 for the technician's first 30 minutes and 96139 for additional time, rather than 96136 and 96137.
What time should the record support?
Document the time spent by the physician or qualified health care professional administering and scoring the tests. Do not count interpretation and report time as administration time.
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.
12,75696131,,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
12,76196138,,Psycl/nrpsyc tech 1st,A,,0.00,1.12,,1.12,NA,0.01,1.13,1.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,76296139,,Psycl/nrpsyc tst tech ea,A,,0.00,1.06,,1.06,NA,0.00,1.06,1.06,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00