96131 Psycl tst evaluation phys/qhp each
Also known as: psychological evaluation extension, additional psych testing
Psychological testing and evaluation by physician or qualified health professional for each additional hour.
In Plain Language
additional personality and thinking testing
Clinical Context
Extended psychological evaluation when comprehensive assessment requires additional testing time beyond initial hour.
RVU Breakdown
| Work RVU | 1.96 |
| Total RVU | 1.96 |
Est. Medicare Payment
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 1.96, this code ranks in the 78th percentile among Medicine codes — 2.5x the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 96131?
CPT 96131 (Psycl tst evaluation phys/qhp each) is a Medicine code. Psychological testing and evaluation by physician or qualified health professional for each additional hour.
Who uses CPT code 96131?
CPT 96131 is used by Psychiatry, Psychology, Neurology. Extended psychological evaluation when comprehensive assessment requires additional testing time beyond initial hour.
When is CPT 96131 used?
Extended psychological evaluation when comprehensive assessment requires additional testing time beyond initial hour.
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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.