PAYMENT & INSURANCE REIMBURSEMENT Services Can Be Tax Deductible-Click Here Credentials Cost & Procedure Codes: 90791 for the Intake interview ($240) 96118 for Neuropsychological Testing for Dyslexia (typical $1690 including Intake Interview). 96118 for Neuropsychological Testing for Dyslexia & ADHD/ADD (typical $2030 including Intake Interview). (Sometimes   the   specific   circumstances   of   the   case   call   for   a   different   testing   procedure   code   96101   for   Psychological   Testing instead of 96118). Diagnostic   Codes.   We   cannot   know   which   diagnostic   code   will   be   used   before   we   meet   with   your   for   the   diagnostic   interview. The interview is used to review your case and determine what the diagnoses that should be considered. The   most   common   diagnostic   codes   are   315.00   for   Specific   Learning   Disorder   with   impairment   in   reading   (dyslexia)   and   314.00 for ADHD. Other diagnostic codes may apply. Dr.   Smith   does   not   bill   or   participate   with   insurance   companies.      Participation   with   insurance   companies   usually   restricts   the nature   of   evaluations   that   can   be   performed.   Consequently,   Dr.   Smith   does   not   participate   with   insurance   companies   nor   submit billing   statements   to   insurance   companies.   However,   most   insurance   companies   allow   you   to   consult   non   participating   providers and   submit   a   billing   statement   for   reimbursement.   Many   insurance   carriers   reimburse   the   cost   for   part   or   all   of   evaluation services,   even   from   non-participating   providers.    Please   check   with   your   insurance   company   prior   to   the   appointments   to determine reimbursement. Payment   is   expected   on   the   day   of   service.       Dr.   Smith   will   provide   you   with   an   itemized   statement   with   applicable   procedure   and diagnostic codes needed for you to submit a claim to your insurance company. The following methods of payment are accepted: Visa MasterCard American Express Discover Check Cash Procedure   codes   are   listed   in   each   service   description   (in   the   description   of   services   page)   to   assist   you   when   you   check   with your   insurance   about   coverage.   Insurance   company   reimbursement   is   based   on   the   number   of   hours   (units)   of   each   applicable procedure   code.      This   usually   involves   one   hour   (unit)   of   Intake   Interview   (90791)   and   8   hours   (units)   of   Neuropsychological Testing   (96118),   though   this   may   vary   depending   on   the   needs   of   a   particular   evaluation.      Below   is   also   a   separate   list   of   some of   the   most   common   procedure   and   diagnostic   codes   that   may   be   applicable   in   your   evaluation.   Contact   your   insurance company to acquire accurate information concerning what is covered and the amounts covered. You   need   two   different   pieces   of   information   when   talking   to   your   insurance   policy   about   coverage.   The   Procedure   Codes   and Diagnostic code are needed when discussing this with your insurance.
© Robert D. Smith, PhD
Robert D. Smith, PhD Diagnosis & Treatment for Dyslexia, ADD & Learning Disorders IQ Optimization Children & Adults