96112 Insurance Policy Changes

CPT 96112, in plain terms, covers A developmental specialist or qualified healthcare provider spends the first hour testing a child's skills and abilities. CPT 96112 is referenced in 6 tracked payer policy changes from Nevada Medicaid, Blue Cross & Blue Shield of Mississippi, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 96112 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 96112 on AAPC