MedicaidBilling CodesHigh impact
2019 Fee Schedule HIPAA Compliant Update for Psychological and Neuropsychological Testing pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Neurology·Reimbursement
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated psychological and neuropsychological testing codes effective January 1, 2019, replacing old CPT codes (96101, 96116, 96118) with new ones (96130-96137) and adding TF modifier requirements for neuropsychological testing. This ensures HIPAA compliance with 2019 HCPCS changes.
Action Required
Immediately: Billing team must update system to use new CPT codes 96130-96137 for psychological/neuropsychological testing services. Stop billing old codes 96101, 96116, 96118. Add TF modifier requirement for neuropsychological testing codes 96136 and 96137. Update encounter forms and provider documentation templates to reflect new code structure and time-based billing (30-minute and hourly increments).