PAYMENT & INSURANCE REIMBURSEMENT Cost & Procedure Codes:   90791 for the Intake interview 96132 for first hour of Neuropsychological Testing Evaluation 96133 for each Additional Neuropsychological Testing Evaluation 96136 for first 30 minutes of Neuropsychological Test Administration by Licensed Psychologist   96137 for each additional 30 minutes of Neuropsychological Test Administration by Licensed Psychologist 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 F81.0 for Specific Learning Disorder with impairment in reading (dyslexia) and F90.2 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 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.  An example is one hour (unit) of Intake Interview (90791) and 1 unit (1 hour) of Neuropsychological Testing   Evaluation (96132), 4 units (4 hours) additional Neuropsychological Testing Evaluation (96133), 1 unit (30 minutes)   Neuropsychological Test Administration (96136) and 11 units (330 minutes)  though times may vary depending on the needs of  a particular evaluation. 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 of Dyslexia, ADD & Learning Disorders Children & Adults 
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