96139 Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; each additional 30 minutes (List separately in addition to code for primary procedure)

Name of the Procedure:

Psychological or Neuropsychological Test Administration and Scoring by Technician, Two or More Tests, Any Method; Each Additional 30 Minutes
Common Names: Psychological Testing, Neuropsychological Testing, Psych Assessment, Neuropsych Assessment

Summary

This procedure involves a technician administering and scoring psychological or neuropsychological tests. These tests evaluate various cognitive, behavioral, and emotional functions. The additional 30-minute sessions are typically added to extend the evaluation after the primary procedure.

Purpose

Psychological and neuropsychological tests help diagnose mental health conditions, brain injuries, cognitive impairments, and learning disabilities. These tests aim to identify the nature of cognitive or psychological issues, guiding treatment plans and interventions.

Indications

• Symptoms include memory problems, mood swings, or changes in behavior.
• Diagnosing conditions such as ADHD, depression, anxiety, dementia, or brain injuries.
• Evaluating cognitive function after a stroke or surgery.
• Monitoring the progress of treatment for mental health conditions.

Preparation

• Patients are generally advised to get a good night's sleep before the test.
• Bring any relevant medical history or prior test results.
• Inform the assessor of all medications being taken.
• No fasting or special physical preparation is usually required.

Procedure Description

1. Interview: The technician may start with a brief interview to understand the patient's background and concerns.
2. Administration of Tests: Various tests are administered, which may include paper-and-pencil tasks, computer-based tests, and interactive activities.
3. Breaks: The patient may be given short breaks to maintain focus and accuracy.
4. Scoring: The technician scores the tests, often using specific guidelines or software to ensure accuracy.

Tools, Equipment, or Technology Used:

• Paper forms or computer programs for tests.
• Writing instruments and possibly a stopwatch.

Anesthesia or Sedation:

• Not applicable for this procedure.

Duration

Each additional session after the initial assessment lasts 30 minutes. The total duration depends on the number and complexity of the tests.

Setting

• Usually performed in a hospital, outpatient clinic, or specialized testing center.

Personnel

• Conducted by a trained technician.
• Supervised by a licensed psychologist or neuropsychologist.

Risks and Complications

• Minimal risks.
• Rarely, patients might experience fatigue, frustration, or mild anxiety.

Benefits

• Accurate diagnosis and tailored treatment plan.
• Insight into cognitive and emotional functioning can lead to effective interventions.
• Progress monitoring for ongoing treatment.

Recovery

• No physical recovery is needed.
• Patients may resume normal activities immediately.
• Results are discussed in a follow-up appointment with the supervising psychologist.

Alternatives

• Clinical interviews alone.
• Other diagnostic methods like MRI or CT scans for neurological issues.
• Alternative non-standardized assessments.

Pros and Cons of Alternatives:

• Pros: Less time-consuming; no stress from testing environment.
• Cons: May not provide as detailed or accurate an assessment of cognitive or psychological issues.

Patient Experience

• During the Procedure: Patients may feel mild stress due to the testing environment but generally remain comfortable.
• After the Procedure: No physical discomfort; may feel relieved or anxious about awaiting results.
• Pain Management and Comfort Measures: Not typically necessary, though breaks and reassurances are offered to maintain comfort.