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Psychology Services Local Code Conversion

December 16, 2013
Republished June 20, 2017

This article originally published in the December 2013 Medi-Cal Update. It has been republished to comply with current formatting standards.

Effective for dates of service on or after January 1, 2014, HCPCS local codes for psychology services are terminated and replaced with CPT-4 codes as follows:

Deleted Codes Replacement Codes Description Suggested Revenue Codes*
X9500 90832 Psychotherapy, 30 minutes with recipient and/or family member 0914
X9502 90837 Psychotherapy, 60 minutes with recipient and/or family member 0914
X9504 90839 and 90840 Psychotherapy for crisis; first 60 minutes and each additional 30 minutes 0914
X9506 90853 Group psychotherapy (other than of a multiple-family group) 0915
X9544 99366 or 99368 Medical team conference, 30 minutes, with/without recipient and/or family present 0919

Also effective for dates of service on or after January 1, 2014, the following HCPCS local codes for psychology services are terminated with no replacements:

X9508 X9516 X9524 X9532 X9540 X9550
X9510 X9518 X9526 X9534 X9542 Z0300
X9512 X9520 X9528 X9536 X9546  
X9514 X9522 X9530 X9538 X9548  

Also effective for dates of service on or after January 1, 2014, the following CPT-4 codes are to be used according to the test performed with suggested Revenue Code 0918*:

CPT-4 codes Description
96101 Psychological testing, per hour of the psychologist's or physician's time, both face-to-face time administering tests to the recipient and time interpreting test results and preparing the report
96105 Assessment of aphasia, with interpretation and report, per hour
96110 Developmental screening, with interpretation and report, per standardized instrument form
96111 Developmental testing, with interpretation and report
96116 Neurobehavioral status exam, per hour of the psychologist's or physician's time, both face-to-face time administering tests to the recipient and time interpreting these test results and preparing the report
96118 Neuropsychological testing, per hour of the psychologist’s or physician's time, both face-to-face time administering tests to the recipient and time interpreting these test results and preparing the report
96120 Neuropsychological testing, administered by a computer, with qualified health care professional interpretation and report

* A revenue code is required when billing on a UB-04 claim form or the 837-I transaction.