96139 Psycl/nrpsyc tst tech ea
What 96139 is
CMS fee schedule short descriptor: Psycl/nrpsyc tst tech ea.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 96139 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.00 | 1.06 | 0.00 | 1.06 | $35.40 |
| Facility (hospital, ASC) | 0.00 | 1.06 | 0.00 | 1.06 | $35.40 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 96139 at 11 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 96139? These codes are bundled into it
96139 is a Column 1 code in 21 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0362T | Bhv id suprt assmt ea 15 min | 0 - no modifier bypass | Check pair |
0373T | Adapt bhv tx ea 15 min | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
90785 | Psytx complex interactive | 0 - no modifier bypass | Check pair |
96110 | Developmental screen w/score | 1 - modifier may bypass | Check pair |
96125 | Cognitive test by hc pro | 1 - modifier may bypass | Check pair |
96127 | Brief emotional/behav assmt | 0 - no modifier bypass | Check pair |
96146 | Psycl/nrpsyc tst auto result | 0 - no modifier bypass | Check pair |
96160 | Pt-focused hlth risk assmt | 1 - modifier may bypass | Check pair |
96161 | Caregiver health risk assmt | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97151 | Bhv id assmt by phys/qhp | 0 - no modifier bypass | Check pair |
97152 | Bhv id suprt assmt by 1 tech | 0 - no modifier bypass | Check pair |
97153 | Adaptive behavior tx by tech | 0 - no modifier bypass | Check pair |
97154 | Grp adapt bhv tx by tech | 0 - no modifier bypass | Check pair |
97155 | Adapt behavior tx phys/qhp | 0 - no modifier bypass | Check pair |
97156 | Fam adapt bhv tx gdn phy/qhp | 0 - no modifier bypass | Check pair |
97157 | Mult fam adapt bhv tx gdn | 0 - no modifier bypass | Check pair |
97158 | Grp adapt bhv tx by phy/qhp | 0 - no modifier bypass | Check pair |
G0451 | Devlopment test interpt&rep | 1 - modifier may bypass | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.