Does insurance cover a neuropsychological evaluation?

Insurance coverage varies greatly, depending on individual insurance plans. Some portion of the evaluation is usually covered. If you want to check with your insurance company before the evaluation, you will need to let them know the following CPT (procedure) codes:

  • 96118: Interview, examination, and interpretation by a neuropsychologist
  • 96119: Test administration

Making an appointment

Typically, patients are referred by a family physician or medical specialist to see one of our neuropsychologists. To make an appointment or referral during business hours (8:00 am to 5:00 pm), please call: 216.444.6115 or 1.800.223-2273, ext. 446115.

Last reviewed by a Cleveland Clinic medical professional on 01/22/2014.

References

  • Brainline.org. A Guide to Neuropsychological Testing Accessed 2/20/2014.
  • Society for Clinical Neuropsychology, Division 40 of the American Psychological Association. Neuropsychology Brochures: Pediatric Neuropsychology Brochure and Adult Neuropsychology Brochure Accessed 2/20/2014.
  • Kulas JF, Naugle RI. Indications for neuropsychological assessment. Cleveland Clinic Journal of Medicine. 2003;70(9):785-786.
  • This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. For additional health information, please contact the Center for Consumer Health Information at the Cleveland Clinic (216) 444-3771 or toll-free (800) 223-2273 extension 43771. If you prefer, you may visit www.clevelandclinic.org/health/ or www.clevelandclinicflorida.org. This document was last reviewed on: 1/22/2014 #4893

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