[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-312984-105":59,"doc-detail-312984-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","2026-psychological-and-neuropsychological-testing-billing-and-coding-guide","2026 Psychological and Neuropsychological Testing - Billing and Coding Guide","","2026 Psychological and Neuropsychological Testing Billing and Coding Guide provides coding guidance and payment policy explanations for psychological and neuropsychological testing services. It describes scope differences, coverage indications and medical necessity, common limitations in meeting medical necessity, and the CPT code set structure and utilization, including codes effective January 1, 2019. The guide also covers developmental testing payment policies, multi-day documentation and billing practices, utilization guidelines to support appropriate care, and sources of information plus clinical examples and tips for coding, billing, and documentation.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/2026-psychological-and-neuropsychological-testing-billing-and-coding-guide/312984/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/2026-psychological-and-neuropsychological-testing-billing-and-coding-guide/312984.png","ImageObject",300,407,{"name":92,"@type":93},"Adam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",24,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of the 2026 Psychological and Neuropsychological Testing Billing and Coding Guide?","Question",{"text":113,"@type":114},"It provides an objective explanation of coding guidelines and payment policies for psychological and neuropsychological testing, and describes CPT code set structure, function, and utilization.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does the guide address medical necessity and coverage?",{"text":118,"@type":114},"It explains assessment, test administration and scoring, evaluation components, and specifics for determining medical necessity, including examples where services do not meet medical necessity.",{"name":120,"@type":111,"acceptedAnswer":121},"Which CPT codes are included and what timing does the guide specify?",{"text":122,"@type":114},"It provides a complete listing and description of psychological and neuropsychological testing CPT® codes that went into effect on January 1, 2019.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},312984,1790555345,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":36,"preview_page_count":4},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","For additional information, contact the Office of Health & Health Care Financing [at OHCF@apa.org](at OHCF@apa.org).  \n2026 Psychological and Neuropsychological Testing  \nBilling and Coding Guide  \nEXECUTIVE SUMMARY  \nThe 2026 Psychological and Neuropsychological Testing Billing and Coding Guide is an essential comprehensive billing and coding resource.  \nThis Guide was developed by APA Services Inc . and is specifically designed to provide an objective explanation of the coding guidelines and payment policies established by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS), as well as describe the structure, function, and utilization of the CPT® code set.  \nThe information contained in each of the Guide’s sections is provided below. APA encourages payers and providers to utilize the Guide to navigate the landscape of psychological and neuropsychological testing guidelines and procedures.  \nPlease direct any questions about this Guide to the Office of Health & Health Care [Financing at OHCF@apa.org. Additional](Financing at OHCF@apa.org. Additional)[ ](Financing at OHCF@apa.org. Additional)APA Services resources are publicly available on APA’s website ([apaservices.org/practice/reimbursement/health-codes/testing](apaservices.org/practice/reimbursement/health-codes/testing)) .  \nSECTIONS  \nCompetency and Training in Psychological & Neuropsychological Testing This section provides descriptions of scope that differentiate Psychological and Neuropsychological Testing services (page 1) .  \nCoverage Indications and Medical Necessity This section provides descriptions of the assessment, test administration and scoring, and evaluation services; an explanation of the individual components of each service; and specifics on determining medical necessity (pages 1–8) .  \nLimitations of Coverage This section provides examples of when Psychological and Neuropsychological Testing services are not considered to meet medical necessity (page 8) .  \nCoding Information This section contains a complete listing and description of the psychological and neuropsychological testing CPT® codes that went into effect on January 1, 2019 (page 9) .  \nDevelopmental Testing This section contains descriptions of payment policies, best practices and proper coding and reporting of Developmental Testing services (pages 9–10) .  \nGeneral Information This section includes a description of the elements typically required to be documented in the patient record and provides guidelines for billing testing services that occur over multiple days—a standard of practice for both psychological and neuropsychological assessment (pages 10–11) .  \nUtilization Guidelines This section provides instructions to assess coverage provisions (i. e., whether a service or procedure is considered medically necessary) and appropriateness of services provided to a patient or group of patients. The instructions are intended to improve quality and efficiency of care, reduce unnecessary and/or inappropriate services, and manage the cost of health care benefits (pages 12–13) .  \nSources of Information This section lists the scientific evidence and educational resources to support the contents of this Guide (pages 14–15) .  \nClinical Examples This separate addendum provides expanded clinical examples as well as tips for proper coding, billing and documentation of testing services.  \n© 2026 APA Services Inc . CPT Copyright 2026 American Medical Association . All rights reserved. CPT® is a registered trademark of the American Medical Association .  \nFor additional information, contact the Office of Health & Health Care Financing [at OHCF@apa.org](at OHCF@apa.org).  \n2026 Psychological and Neuropsychological Testing  \nBilling and Coding Guide  \nThe information provided throughout this Guide relates to both Neuropsychological and Psychological Testing services. Given the differences in scope, however, the two types of testing services are discussed separ","cbCaird0Jh1BVsEy","https://ap.wps.com/l/cbCaird0Jh1BVsEy","pdf",239348,16,"English","# Executive Summary\n# Sections\n## Competency and Training in Psychological & Neuropsychological Testing\n## Coverage Indications and Medical Necessity\n## Limitations of Coverage\n## Coding Information\n## Developmental Testing\n## General Information\n## Utilization Guidelines\n## Sources of Information\n## Clinical Examples","[{\"question\":\"What is the purpose of the 2026 Psychological and Neuropsychological Testing Billing and Coding Guide?\",\"answer\":\"It provides an objective explanation of coding guidelines and payment policies for psychological and neuropsychological testing, and describes CPT code set structure, function, and utilization.\"},{\"question\":\"How does the guide address medical necessity and coverage?\",\"answer\":\"It explains assessment, test administration and scoring, evaluation components, and specifics for determining medical necessity, including examples where services do not meet medical necessity.\"},{\"question\":\"Which CPT codes are included and what timing does the guide specify?\",\"answer\":\"It provides a complete listing and description of psychological and neuropsychological testing CPT® codes that went into effect on January 1, 2019.\"}]","2026 Psychological and Neuropsychological Testing - Billing and Coding Guide | PDF",1789896453]