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96113 Devel tst phys/qhp each additional

Medicine +Add-on

Also known as: developmental assessment extension, additional developmental testing

Developmental testing performed by physician or qualified health professional for each additional hour of testing.

In Plain Language

additional child development testing

Clinical Context

Extended or additional developmental testing beyond initial hour; used when comprehensive evaluation requires extended assessment time.

RVU Breakdown

Work RVU1.16
Total RVU1.16

Est. Medicare Payment

$38.74

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.

How This Code Compares

With a work RVU of 1.16, this code ranks in the 61st percentile among Medicine codes — 1.5x the median (0.78). The highest wRVU in this category is 23.92.

Specialties

PediatricsDevelopmental MedicineNeurology

Frequently Asked Questions

What is CPT code 96113?

CPT 96113 (Devel tst phys/qhp each additional) is a Medicine code. Developmental testing performed by physician or qualified health professional for each additional hour of testing.

Who uses CPT code 96113?

CPT 96113 is used by Pediatrics, Developmental Medicine, Neurology. Extended or additional developmental testing beyond initial hour; used when comprehensive evaluation requires extended assessment time.

When is CPT 96113 used?

Extended or additional developmental testing beyond initial hour; used when comprehensive evaluation requires extended assessment time.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.