96110
No office rateDevelopmental screen w/score
96110 represents a limited developmental screen. G0451 is used for standardized developmental testing that includes interpretation and a report.
On this page
CMS RVU26D · Effective 2026-10-01
G0451 Developmental testing Medicare reimbursement rates in Wyoming
Reports standardized developmental testing with interpretation for an assessment of a patient's developmental skills, such as when developmental delay is suspected. Compare G0451 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.
What does Medicare pay for G0451 in Wyoming?
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.
Office / nonfacility
$12.27
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Developmental assessment
About G0451: Standardized developmental testing with report
Reports standardized developmental testing with interpretation for an assessment of a patient's developmental skills, such as when developmental delay is suspected.
G0451 represents standardized testing of developmental skills, with interpretation and a report. It may be used when a clinician evaluates a child for a suspected developmental delay, using an instrument to assess areas such as language, motor, cognitive, or adaptive functioning. The service is distinct from a brief developmental screen: it includes interpretation of the test results and documentation of findings. It is commonly furnished in an outpatient clinical setting by clinical staff working under physician supervision.
Select the code when the documented service is standardized developmental testing with interpretation and a report, rather than a limited screening or a different type of behavioral assessment. The record should identify the instrument, testing performed, results, interpretation, and report. Medicare requires this incident-to service to be performed under physician supervision. The CMS file assigns no physician work RVU; its valuation is represented through practice-expense and malpractice RVUs. Interpretation and reporting are part of the service described by G0451, not separate pieces of this testing service.
CMS billing rules for G0451
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.36 · 97%
- Malpractice RVU0.01 · 3%
651
Medicare services in 2024 · #3328 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.
G0451 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$124.04
96112 is time-based developmental testing under CPT criteria. G0451 describes testing per standardized instrument; choose based on the service performed and applicable code criteria.
$55.85
96113 is an additional-time code used with 96112. It is not a standalone substitute for G0451's per-instrument service.
Compare G0451 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
Wyoming** →
Office / nonfacility
$12.27
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 G0451 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
15,269
- Code
- G0451
- Physician work
- 0.00
- Practice expense
- 0.36
- Malpractice
- 0.01
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.36 | × 1.000 | 0.3600 |
| Malpractice | 0.01 | × 0.740 | 0.0074 |
| Total RVUs | 0.3674 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$12.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.36 | 1 |
| Malpractice | 0.01 | 0.74 |
(0 × 1 + 0.36 × 1 + 0.01 × 0.74) × $33.4009 = $12.27
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.
G0451 billing questions
How is G0451 different from a developmental screening code?
G0451 describes standardized developmental testing with interpretation and a report. A limited screening, such as the service represented by 96110, is not the same level of testing.
What documentation supports G0451?
Document the standardized instrument, testing performed, results, interpretation, and report. The record should also support that the service was performed under physician supervision.
Can the interpretation or report be billed separately?
The interpretation and report are included in G0451's testing service. The code does not describe testing administration alone.
Does G0451 require physician supervision?
Yes. CMS identifies G0451 as an incident-to service and allows billing only when it is performed under physician supervision.
When might 96112 be a better fit?
Consider 96112 when the service meets the CPT criteria for time-based developmental testing by a physician or other qualified health care professional. G0451 describes testing per standardized instrument.
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.
15,266G0446,,Intens behave ther cardio dx,A,,0.60,0.38,,0.15,,0.04,1.02,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,267G0447,,Behavior counsel obesity 15m,A,,0.60,0.38,,0.15,,0.04,1.02,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,268G0448,,Place perm pacing cardiovert,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,269G0451,,Devlopment test interpt&rep,A,,0.00,0.36,,0.36,NA,0.01,0.37,0.37,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
15,270G0452,,Molecular pathology interpr,A,,0.91,0.47,,0.47,NA,0.02,1.40,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,271G0452,26,Molecular pathology interpr,A,,0.91,0.39,,0.39,,0.01,1.31,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,272G0452,TC,Molecular pathology interpr,A,,0.00,0.08,,0.08,NA,0.01,0.09,0.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,