Prior Auth Required

96116 - Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceNeurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 96110 Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument 96116 Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.