96110
No office rateDevelopmental screen w/score
Use 96110 for a developmental screening tool such as the ASQ. Use 96127 for an instrument assessing the patient's mood, anxiety, attention, or behavioral symptoms.
On this page
CMS RVU26D · Effective 2026-10-01
96127 Behavioral screening tool Medicare reimbursement rates in Vermont
Administration and scoring of a brief standardized emotional or behavioral questionnaire, such as the PHQ-9 or GAD-7, reported per instrument administered and scored. Compare 96127 office and facility rates across CMS payment localities in Vermont.
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 96127 in Vermont?
Vermont 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
$4.80
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
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.
Behavioral health assessment
About 96127: Brief standardized emotional or behavioral assessment
Administration and scoring of a brief standardized emotional or behavioral questionnaire, such as the PHQ-9 or GAD-7, reported per instrument administered and scored.
This service involves a brief standardized questionnaire used to screen for or monitor emotional and behavioral symptoms. Typical tools include the PHQ-9 or PHQ-A for depression, the GAD-7 for anxiety, Vanderbilt rating scales for ADHD, and the Pediatric Symptom Checklist. A patient, parent, or teacher may complete the form, and clinical staff commonly score it. It is used in primary care, pediatrics, and behavioral health practices during well visits, problem visits, and medication follow-ups, typically in an office setting.
Report one unit for each instrument administered, scored, and documented; a PHQ-9 and GAD-7 completed at one visit support two units. A repeat administration needs its own scored result and clinical purpose. The record should identify the instrument, its score, and any clinical response. CMS classifies 96127 as a technical-component-only code with no physician work value. It covers administration and scoring; separate coding covers interpretation when the requirements for that service are met. Do not append modifier 26 or TC to 96127.
CMS billing rules for 96127
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.14 · 93%
- Malpractice RVU0.01 · 7%
956K
Medicare services in 2024 · #149 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.
96127 compared with similar codes
Office rates for Vermont, from the same CMS release.
$2.15
96146 covers a single psychological or neuropsychological test administered electronically with an automated result. 96127 covers a brief scored emotional or behavioral assessment.
$37.20
96138 covers the first 30 minutes of technician-administered and scored psychological or neuropsychological testing involving two or more tests. Report 96127 per brief standardized emotional or behavioral instrument, not by time.
$3.31
96161 applies when the caregiver's own risk is assessed for the patient's benefit. 96127 applies when the instrument assesses the patient's own emotional or behavioral status.
Compare 96127 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
Vermont →
Office / nonfacility
$4.80
Facility
Unavailable
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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 96127 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,754
- Code
- 96127
- Physician work
- 0.00
- Practice expense
- 0.14
- Malpractice
- 0.01
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.14 | × 0.990 | 0.1386 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 0.1437 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$4.80
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.14 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0 × 1 + 0.14 × 0.99 + 0.01 × 0.506) × $33.4009 = $4.80
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.
96127 billing questions
How many units are reported when several screening tools are used at one visit?
Report one unit for each standardized instrument administered and scored. A repeat use of the same instrument needs a separate administration, scored result, and clinical purpose; rescoring one completed form does not support another unit.
Is the provider's review of the score billed separately?
96127 covers administration and scoring, not professional interpretation. CMS identifies separate coding for interpretation; routine use of the result during a visit does not, by itself, establish a separately reportable interpretation service.
Should maternal depression screening at an infant's well-child visit use this code?
Screening the parent for the child's benefit, for example with the Edinburgh Postnatal Depression Scale, is generally reported with caregiver-focused code 96161 rather than 96127.
What documentation supports each unit?
Identify the instrument, record who completed it and its score, and retain the scored form or result. Document the clinical response when indicated, such as a referral, medication change, or follow-up plan.
Can this be reported with a developmental screen at the same visit?
Yes, when separate instruments are administered and scored. A developmental tool such as the ASQ is reported with 96110, while a distinct emotional or behavioral tool is reported with 96127.
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.
12,75196116,,Nubhvl xm phys/qhp 1st hr,A,,1.86,0.90,,0.24,,0.06,2.82,2.16,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,75296121,,Nubhvl xm phy/qhp ea addl hr,A,,1.71,0.54,,0.12,,0.01,2.26,1.84,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,75396125,,Cognitive test by hc pro,A,,1.70,1.34,,1.34,NA,0.04,3.08,3.08,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817