96113 Insurance Policy Changes

CPT 96113, in plain terms, covers A psychologist or qualified specialist administers an additional developmental assessment beyond the initial test. CPT 96113 is referenced in 7 tracked payer policy changes from Nevada Medicaid, Sentara Health Plans, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 96113 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 96113 on AAPC