Medicare 2021 Reimbursement Rates by CPT Code

Medicare 2021 Reimbursement Rates by CPT Code

 

CPT CODEDESCRIPTIONMEDICARE REIMBURSEMENT RATE 2020MEDICARE REIMBURSEMENT RATE 2021
90791Psychological Diagnostic Evaluation$140.19$180.75
90792Psychological Diagnostic Evaluation with Medication Management$157.49$201.68
90832Individual Psychotherapy, 30 Minutes$68.47$77.81
90833Individual Psychotherapy with Evaluation and Management Services, 30 minutes$71.00$71.18
90834Individual Psychotherapy, 45 Minutes$91.18$103.28
90836Individual Psychotherapy with Evaluation and Management Services, 45 minutes$89.74$90.02
90837Individual Psychotherapy, 60 Minutes$136.95$152.48
90838Individual Psychotherapy with Evaluation and Management Services, 60 minutes$118.57$119.33
99201Evaluation and Management Services, Outpatient, New Patient$46.49Not Covered
99202Evaluation and Management Services, Outpatient, New Patient$77.48$73.97
99203Evaluation and Management Services, Outpatient, New Patient$109.92$113.75
99204Evaluation and Management Services, Outpatient, New Patient$166.86$169.93
99205Evaluation and Management Services, Outpatient, New Patient$209.75$224.36
99211Evaluation and Management Services, Outpatient, Established Patient$23.07$23.03
99212Evaluation and Management Services, Outpatient, Established Patient$45.77$56.88
99213Evaluation and Management Services, Outpatient, Established Patient$75.32$92.47
99214Evaluation and Management Services, Outpatient, Established Patient$110.28$131.20
99215Evaluation and Management Services, Outpatient, Established Patient$147.76$183.19
99354Prolonged Services$132.26$132.09
99355Prolong Services with E/M$100.91$100.33
90847Family psychotherapy with patient, 50 minutes$107.19$102.59
90846Family psychotherapy without patient, 50 minutes$103.58$99.10
96105Assessment of aphasia and cognitive performance $101.54
96112Developmental testing administration by a physician or qualified health care professional, 1st hr $131.55
96113Developmental testing administration by a physician or qualified health care professional, each additional hour $58.62
96116Neurobehavioral status exam performed by a physician or qualified health professional, first hour $97.00
96121Neurobehavioral status exam performed by a physician or qualified health professional, additional hour $82.35
96125Standardized cognitive performance test administered by health care professional $107.12
96127Brief emotional and behavioral assessment $4.89
96130Psychological testing and evaluation by a physician or qualified health care professional, first hour $120.73
96131Psychological testing and evaluation by a physician or qualified health care professional, each additional hour $91.42
96132Neuropsychological testing and evaluation by a physician or qualified health care professional, first hour $133.29
96133Neuropsychological testing and evaluation by a physician or qualified health care professional, each additional hour $103.98
96136Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, first hour $46.76
96137Neuropsychological or psychological test administration and scoring by a physician or qualified health care professional, each additional hour $41.87
96138Neuropsychological or psychological test administration and scoring by a technician, first hour $37.34
96139Neuropsychological or psychological test administration and scoring by a technician, each additional hour $37.34

(Source)

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