CPT Code 96130: Psychological Testing Evaluation Services by a Professional

You must use CPT code 96131, which is meant to represent each additional hour beyond the first hour. Use it as an add-on to 96130.

Most of the time, PPOs don't require prior authorization. HMOs might require them because there might be a chance they're not accustomed to the code. It's best to contact the insurance provider to check if they require prior authorization for this.

It would be best to bill the E/M code as medical decision-making to use 96131 in the same billing.