$44.85
96136 covers the initial 30 minutes of physician or qualified health care professional test administration and scoring; 96137 covers each additional 30 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
96137 Test administration Medicare reimbursement rates in Rhode Island
Reports each additional 30 minutes of psychological or neuropsychological test administration and scoring performed by a physician or qualified health care professional. Compare 96137 office and facility rates across CMS payment localities in Rhode Island.
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 96137 in Rhode Island?
Rhode Island 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
$38.08
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$16.69
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Psychological testing
About 96137: Additional professional test administration and scoring
Reports each additional 30 minutes of psychological or neuropsychological test administration and scoring performed by a physician or qualified health care professional.
Code 96137 represents each additional 30 minutes of psychological or neuropsychological test administration and scoring by a physician or other qualified health care professional, after the initial 30 minutes. It fits standardized testing such as memory, attention, intellectual, or personality measures when a psychologist, neuropsychologist, or other eligible clinician personally administers and scores the tests. These services may occur in behavioral health, neurology, rehabilitation, or specialty assessment settings to evaluate concerns such as cognitive change, brain injury, or emotional functioning.
Report 96137 with 96136 for the same testing service; it is an add-on and is not reported by itself. CMS pays it within the primary procedure's global period. Documentation should identify the tests, the clinician who administered and scored them, and the time attributable to those tasks. Keep test administration and scoring time distinct from interpretation, integration, clinical decision-making, and reporting, which are evaluation services.
CMS billing rules for 96137
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.46 · 41%
- Practice expense (office) RVU0.65 · 59%
- Malpractice RVU0.00 · 0%
347.5K
Medicare services in 2024 · #283 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.
96137 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$36.57
96139 represents additional administration and scoring performed by a technician. Use 96137 when the physician or qualified health care professional performs those tasks.
$88.40
96131 reports additional psychological test evaluation time, such as interpretation and reporting, rather than additional test administration and scoring.
$100.08
96133 reports additional neuropsychological test evaluation time, not additional administration and scoring time.
Compare 96137 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
Rhode Island →
Office / nonfacility
$38.08
Facility
$16.69
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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 96137 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
12,760
- Code
- 96137
- Physician work
- 0.46
- Practice expense
- 0.65
- Malpractice
- 0.00
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.46 | × 1.019 | 0.4687 |
| Practice expense | 0.65 | × 1.033 | 0.6714 |
| Malpractice | 0.00 | × 0.892 | 0.0000 |
| Total RVUs | 1.1402 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$38.08
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.46 | 1.019 |
| Practice expense | 0.65 | 1.033 |
| Malpractice | 0 | 0.892 |
(0.46 × 1.019 + 0.65 × 1.033 + 0 × 0.892) × $33.4009 = $38.08
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.46 | 1.019 |
| Practice expense | 0.03 | 1.033 |
| Malpractice | 0 | 0.892 |
(0.46 × 1.019 + 0.03 × 1.033 + 0 × 0.892) × $33.4009 = $16.69
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.
96137 billing questions
What primary code must accompany 96137?
Report 96137 with 96136 for the same psychological or neuropsychological testing service. It is an add-on code, not a stand-alone service.
How does 96137 differ from 96136?
96136 represents the initial 30 minutes of physician or qualified health care professional test administration and scoring. 96137 represents each additional 30 minutes.
When should 96139 be used instead?
Use 96139 for additional test administration and scoring time performed by a technician. 96137 is for time performed by a physician or other qualified health care professional.
Can test interpretation and the report be included in 96137 time?
96137 captures administration and scoring time. Interpretation, integration of results, clinical decision-making, and reporting are evaluation services, represented by codes such as 96130 or 96132.
What documentation supports reporting 96137?
Document the tests administered and scored, the clinician performing those tasks, and the time attributable to them. The record should support that this is additional time beyond the initial service reported with 96136.
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.
12,75796132,,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
12,76396146,,Psycl/nrpsyc tst auto result,A,,0.00,0.06,,0.06,NA,0.01,0.07,0.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537