CPT 96139
Global ZZZ ActivePsycl/nrpsyc tst tech ea
This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.
CPT 96139 Billing & Documentation Guide
CPT code 96139 (Psycl/nrpsyc tst tech ea) is classified under Psych Testing with a global period indicator of ZZZ. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.
When billing 96139, 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 96139 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 11 units of 96139 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
2026 Medicare Reimbursement by State, CPT 96139
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 | $41.89 | $41.89 | $38.8 - $51.05 | 29 |
| Florida | $35.53 | $35.53 | $33.85 - $36.86 | 3 |
| Georgia | $33.78 | $33.78 | $31.58 - $35.97 | 2 |
| Illinois | $34.21 | $34.21 | $32.32 - $36.36 | 4 |
| Michigan | $33.25 | $33.25 | $32.32 - $34.17 | 2 |
| North Carolina | $33.03 | $33.03 | $33.03 - $33.03 | 1 |
| New York | $39.5 | $39.5 | $33.63 - $42.1 | 5 |
| Ohio | $32.32 | $32.32 | $32.32 - $32.32 | 1 |
| Pennsylvania | $34.68 | $34.68 | $32.5 - $36.86 | 2 |
| Texas | $34.86 | $34.86 | $32.22 - $37.46 | 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 96139
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 96139 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 96139
What does CPT code 96139 mean? +
CPT code 96139 represents: Psycl/nrpsyc tst tech ea. It's in the Psych Testing category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 96139? +
The 2026 Medicare national average non-facility payment for CPT 96139 is $36.95. Rates range from $30.41 to $51.05 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 96139? +
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 96139? +
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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