Dr. Wortman is an in-network provider for Medicare only. On occasion, she is able to negotiate a single case agreement for services when appropriate in-network providers are not available. Below are CPT codes for services and information needed to ask about out-of-network insurance benefits. Contact Dr. Wortman for current fees.
Neuropsychological Assessment
Consult
A short triage consult is offered to clarify clinical questions and determine the right assessment needed. You will fill out a few online questionnaires. We will meet via Zoom where we will discuss your concerns and I will review the results with you. I will provide recommendations for assessment or treatment. Fees for initial consult can be used toward final assessment. If you decide to not pursue an assessment, I will write clinical note describing results and recommendations that you can take to another provider.
Assessment
A comprehensive evaluation is longer assessment with testing split over two days. An abbreviated evaluation targeted assessment with one day of testing. Half of the fee will be due on the first day of testing, and the balance will be collected at the feedback session scheduled about 2-3 weeks later.
Insurance
I provide a superbill with relevant codes that can be submitted to insurance for reimbursement. The only exception are for those who have Medicare or a case agreement through Medi-Cal. These services are generally covered completely.
Questions to ask insurance
- What are my out-of-network benefits for a neuropsychological evaluation?
- How much is my deductible?
- Is there limit to CPT units?
- How do I submit a claim?
| CPT Code | |
|---|---|
| 96116 | Neurobehavioral Exam |
| 96121 | Neurobehavioral Exam |
| 96132 | Test Evaluation |
| 96133 | Test Evaluation |
| 96136 | Test Administration |
| 96137 | Test Administration |
Psychotherapy
Psychotherapy fees are per 50-minute session. If you would like to submit to insurance for reimbursement a superbill will be provided. Please inquire for current rates.
Questions to ask your insurance
- What are my out-of-network benefits for a psychotherapy?
- How much is my deductible?
- Is there limit to CPT units?
- How do I submit a claim?
| CPT Codes | |
|---|---|
| 90791 | Diagnostic Exam |
| 90832 | 16-37 min Session |
| 90834 | 38-52 min Session |
| 90837 | 53+ min Session |
Next Steps Neuropsychology 