Basics of 96127 CPT code
Emotional/behavioral assessments may be performed by medical and mental health professionals in the clinical setting and also by trained professionals in the educational setting. These assessments gather information regarding feelings and emotions and problem behaviors through direct observation of the individual and/or questionnaires completed by the individual, caregivers, teachers, and others. CPT code 96127Â is reported for such exams.
Areas assessed can include activities of daily living (ADL), relationships, attitude, adaptability, aggression, anxiety, attention, atypicality, conduct problems, depression, functional communication, hyperactivity, social skills, somatization, withdrawal, and self-esteem. Assessment tools may include the Behavior Assessment System for Children-Second Edition (BASC-2), Behavior Rating Profile-Second Edition (BRP-2), Child Behavior Checklist (CBCL), Conners Rating Scale, Pervasive Developmental Disorder Behavior Inventory (PDDBI), Brief Infant Toddler Social Emotional Assessment (BITSEA) and the Patient Health Questionnaire for Depression and Anxiety (PHQ-4, PHQ-9).
The individual tests can take from 10-45 minutes to complete with additional time allocated for the results to be compiled and scored. CPT code 96127 is reported for each standardized test that is administered, scored, and reported.
Read also: Dementia ICD-10 coding guide for medical coders
Description of 96127 CPT code
96127 Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument
Additional Code Information of 96127 CPT code
RVU and Fees for 96127 CPT code
| Non-Facility | Work | MP | PE | RVU | Total |
|---|---|---|---|---|---|
| 0.00 | 0.01 | 0.13 | 0.14 | $4.74 | |
| Facility | Work | MP | PE | RVU | Total |
| 0.00 | 0.01 | 0.13 | 0.14 | N/A | |
