CMS RVU26D · Effective 2026-10-01
Report 96112 for physician- or qualified health care professional-led developmental testing with interpretation and a report, covering the initial hour of service. Compare 96112 office and facility rates across CMS payment localities in Wyoming.
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.
Wyoming 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.
$124.04
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
$105.67
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Developmental assessment
Report 96112 for physician- or qualified health care professional-led developmental testing with interpretation and a report, covering the initial hour of service.
A physician or other qualified health care professional uses standardized developmental measures and clinical observation to assess areas such as motor skills, language, cognition, social functioning, memory, or executive function. The service is commonly performed in a pediatric, developmental, psychology, or rehabilitation setting when a child’s development needs a more complete evaluation than a brief screening can provide. The clinician interprets the results and prepares a report.
Report 96112 for the initial hour of qualifying developmental testing. Documentation should identify the assessment performed, the developmental domains evaluated, the clinician’s work, and the interpretation and report. When additional qualifying testing time is supported, report it with 96113, the add-on code for additional time. Medicare physician fee schedule valuation is available by setting; the submitted service and setting determine the applicable schedule amount.
13.7K
Medicare services in 2024 · #1309 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.
Office rates for Wyoming, from the same CMS release.
Developmental screen w/score
Choose 96110 for developmental screening with a score. Choose 96112 when a physician or qualified health care professional performs a fuller developmental testing service with interpretation and a report.
96112 represents the initial hour of developmental testing. 96113 is used for additional qualifying time and is reported as an add-on.
96116 is for a neurobehavioral status examination. 96112 is for developmental testing focused on developmental domains assessed with appropriate measures.
96130 covers psychological test evaluation. Use 96112 when the service is developmental testing, rather than psychological test evaluation.
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
Office / nonfacility
$124.04
Facility
$105.67
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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 96112 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
12,749
GPCI2026.csv
112
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.56 | × 1.000 | 2.5600 |
| Practice expense | 1.05 | × 1.000 | 1.0500 |
| Malpractice | 0.14 | × 0.740 | 0.1036 |
| Total RVUs | 3.7136 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$124.04
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 1.05 | 1 |
| Malpractice | 0.14 | 0.74 |
(2.56 × 1 + 1.05 × 1 + 0.14 × 0.74) × $33.4009 = $124.04
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.56 | 1 |
| Practice expense | 0.5 | 1 |
| Malpractice | 0.14 | 0.74 |
(2.56 × 1 + 0.5 × 1 + 0.14 × 0.74) × $33.4009 = $105.67
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.
96112 represents a more complete developmental testing service with interpretation and a report. 96110 is used for a developmental screening with a score, rather than this full testing service.
96113 is the add-on code for additional developmental testing time beyond the initial hour represented by 96112. The record should support the additional time and the work performed.
96112 encompasses the developmental testing service, including interpretation and reporting for the initial hour. Do not split those elements into separate services under this code.
Document the standardized assessment, domains evaluated, time supporting the service, findings, interpretation, and resulting report. The record should show a developmental evaluation rather than only a brief screening.
No. 96112 is developmental testing using assessment measures and interpretation; 96116 addresses a neurobehavioral status examination, a different type of clinical evaluation.
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.
