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.
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
Diagnosis of Dyslexia, ADD & Learning Disorders
Children & Adults
