CPT 96132
Global XXX ActiveNrpsyc tst eval phys/qhp 1st
CPT 96132 Billing & Documentation Guide
CPT code 96132 (Nrpsyc tst eval phys/qhp 1st) is classified under Psych Testing with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.56, a non-facility practice expense RVU of 1.03, and a malpractice RVU of 0.07, a total non-facility RVU of 3.66 and facility RVU of 2.95. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $125.16, though rates vary from $116.26 to $166.19 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 96132, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 96132 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 96132 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 96132
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.56 | 2.56 |
| Practice Expense RVU | 1.03 | 0.32 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 3.66 | 2.95 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 96132
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $130.55 | $102.49 | $125.92 - $145.77 | 29 |
| Florida | $124.57 | $100.78 | $121.91 - $127.23 | 3 |
| Georgia | $121.25 | $98.63 | $118.98 - $123.52 | 2 |
| Illinois | $123.52 | $100.6 | $120.57 - $126.05 | 4 |
| Michigan | $121.11 | $98.83 | $119.56 - $122.65 | 2 |
| North Carolina | $119.1 | $96.97 | $119.1 - $119.1 | 1 |
| New York | $131.12 | $104.66 | $119.83 - $136.23 | 5 |
| Ohio | $119.27 | $97.62 | $119.27 - $119.27 | 1 |
| Pennsylvania | $122.48 | $99.25 | $119.3 - $125.65 | 2 |
| Texas | $122.02 | $98.67 | $118.99 - $124.15 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 96132
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 96132 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0362T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0362T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0373T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0373T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 90785 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96110 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 96132
What does CPT code 96132 mean? +
CPT code 96132 represents: Nrpsyc tst eval phys/qhp 1st. It's in the Psych Testing category with a global period of XXX.
What is the Medicare reimbursement for CPT 96132? +
The 2026 Medicare national average non-facility payment for CPT 96132 is $125.16. Rates range from $116.26 to $166.19 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 96132? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 96132? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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