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Insurance Reimbursement

For your convenience, we have compiled information regarding reimbursement for psychological tests. The information provided is not intended as specific coding or legal advice. Those who seek reimbursement for the use of our tests should follow the direction of coding and legal experts familiar with the policies of the specific third party payer from whom they will seek the reimbursement.

Psychologists and other mental health professionals, click here.
Medical doctors and other medical professionals, click here.
For coding and payment reference for psychological testing, click here.

Other sources of information for psychological test reimbursement

2010 Medicare Payment Changes: Questions and Answers
For a summary of the final rule on the 2010 fee schedule from the APA (American Psychological Association) Practice Organization, click here. They have also provided the information in a PDF here.

APA Practice Billing and Coding for Reimbursement
APA Practice offers multiple resources, some require membership, at http://www.apapracticecentral.org/reimbursement/billing/index.aspx

CMS Manual System: Psychological and Neuropsychological Tests
http://www.cms.hhs.gov/transmittals/downloads/R85BP.pdf

MLN Matters Summary Article: Psychological and Neuropsychological Tests
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5204.pdf

CPT® Professional Edition manual
The new codes are published in the CPT® 2006 Professional Edition manual, which is available at AMA (American Medical Association) at 1-800-621-8335.