Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:
Do I or my child have mental health benefits or a physical diagnosis that allows for testing, within a PPO?
What is my deductible and has it been met?
How many sessions per calendar year does my plan cover?
How much does my plan cover for an out-of-network provider?
Is approval required from my primary care physician?
Neuropsychological testing is indicated to objectively measure functioning and inform the diagnosis and treatment (a medical necessity), ideally supported by a physician referral.
Please note that while testing may be used for educational purposes, health insurance does not cover testing specifically for education.
Unfortunately, many insurance plans do not adequately provide for neuropsychological testing. Please check with your individual insurance plan to see about their reimbursement policies. In many cases, reimbursement depends on the diagnosis of your child. Please keep in mind that what insurance companies consider to be a percentage of reimbursement for "usual and customary" fees are not based on true charges.
For insurance inquiries, the new CPT codes as of 2019 for Neuropsychological Assessment include the following, although other codes may be included in the final invoice:
90791 Diagnostic Interview
96130 Testing Evaluation Services
96119 Developmental Screening
96116 Neurobehavioral Status Exam
96132, 96133 Test administration
96136, 96137 Test Administration, Scoring, Test preparation
90834 Parent feedback session
OFFICE POLICY: All fees are payable to this office directly at the time of the evaluation. This office will provide a statement for your insurance company at the end of the evaluation. We will not directly bill your insurance company. You are responsible for all billing and collection of reimbursements from your insurance company.
Cash or check are accepted for payment. Deposits to hold the reserved appointments can be paid with a credit card, through this website.
If you do not show up for your scheduled appointment, and you have not notified us at least 24 hours in advance, you will be required to pay the full cost of the session as booked. The only exception is sick children, where this office will happily allow you to cancel at the last minute!
Request an appointment online here.
Questions? Please contact me for further information.