This guide (PDF, 233KB) provides a comprehensive overview for insurers of the 2019 psychological and neuropsychological testing codes. The guide clarifies how codes are to be used for reimbursement of neuropsychological and psychological testing. Also included is an addendum (PDF, 321KB) to the guide, that provides three in-depth examples of how to code, document, and bill an entire episode of care for neuropsychological assessment.
The guide is designed for commercial and government payers to serve as reference in the development of billing and coding policies, claims adjudication processes, and production of educational resources. Ultimately, we expect the guide to help eliminate problems experienced by psychologists and neuropsychologists.
APA strongly advises that psychologists experiencing billing, coding and/or reimbursement issues with a particular payer consult with their state psychological associations or with APA staff experts instead of sending the guide to the payer. Advocacy efforts with payers will be more effective in coordination with your state psychological association and/or APA. The following is a list of national companies that have already received the guide: Optum, Aetna, Anthem, Cigna, Beacon, Magellan, Amerihealth, Centene and Molina. Practitioners should contact their state psychological associations to find out if the guide has been shared with specific local payers. Psychologists who continue to have questions about the guide or wish to report continuing problems are encouraged to notify us here.