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Date: October 14,2026
CPT Codes 96112 and 96113
CPT codes 96112 and 96113 for developmental test administration became effective January 1, 2019. There remains confusion which disciplines can bill these codes when provided during an outpatient therapy visit. In addition, do insurance carriers even reimburse for these CPT codes.
In this article, I will answer the following questions:
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How do these codes work with an evaluation or re-evaluation? Can they be billed in concurrent sessions to an evaluation?
You would need to check with each payer. I doubt you would be able to complete a developmental test assessment and another evaluation during the same treatment session.
In the example of the developmental test taking 2/10 and 2/17 to complete, how would you document that you were billing for both sessions on 2/17? Would you complete a note for 2/10 with no charges?
You would document what you did on 02/10. You would need to figure out with your EMR system how to close out the note without entering any charges.
Can both the occupational therapist and speech-language pathologist bill 96112+2 units of 96113 to identify they both took two hours to complete the standardized developmental testing? Is 96112 billable once per year or twice? Is it per provider?
Simple answer is yes if they are doing the tests for different reasons and goals. With that said, could an insurer only reimburse one discipline as they could consider it duplicative. How often a payer reimburses 96112 and 96113 will be insurer and plan specific.