Prior Auth Required

96131 - Each additional hour 1 hour

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEach additional hour 1 hour
Procedure / Service Description

Code Description Unit Service Limitations - 96130 Psychological testing evaluation services 1 hour Eight (8) cumulative maximum hours per 96131 Each additional hour 1 hour calendar year 96136 Psychological test administration and 30 minutes

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.