What is the best way to bill so that the insurance company will reimburse?
Insurance companies vary in how they will reimburse. A physician may use the typical exam/consult code and then a testing code such as 96118. These codes can be used on the same day or separate days. More commonly, the 96116 neuropsych exam code (can only be used once per medical problem/incident) is paired with the 96118 testing code, instead of the physicians typical consult/exam code. These codes require a medical diagnosis such as CONCUSSION. With these codes there is an expectation of a report. Testing on a followup visit should also be 96118, a code that can be used repeatedly. But you cannot use the 96116 exam code again on the next visit. If a technician performs the testing, then use 96119. If the patient is not in the company of the doctor and is being tested by a computer, then use the computer testing code 96120, but this is a one time use code. Currently, the APA, NAN and other agencies are working with AMA/CMS and others because of the misinterpretation and problematic wa
