Outpatient Psychiatry and Psychology Services
J15 · Effective Oct 1, 2015
20 active Medicare policies list 96116, and 7 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J15 · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
7 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 96116 |
|---|---|---|
| Neuropsychological and Psychological Testing | Apr 6, 2023 | Covered |
| Policy | Effective | Status of 96116 |
|---|---|---|
| Attention Deficit Hyperactivity Disorder Assessment and Treatment | Not recorded | Covered |
| Policy | Effective | Status of 96116 |
|---|---|---|
| Medical Policies Moving to MCG Guidelines | Jan 1, 2026 | Covered |
National · Effective Oct 1, 2025
National · Effective Aug 6, 2026
National · Effective Jun 4, 2026
National · Effective Oct 1, 2025
National · Effective Oct 1, 2024
JL · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Mar 26, 2026
J6 · Effective Apr 1, 2026
J5 · Effective Oct 31, 2024
| Policy | Effective | Status of 96116 |
|---|---|---|
| Medical Policies Moving to MCG Guidelines | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 96116 |
|---|---|---|
| Medical Policies Moving to MCG Guidelines | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 96116 |
|---|---|---|
| Medical Policies Moving to MCG Guidelines | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 96116 |
|---|---|---|
| Neuropsychological Testing | Sep 15, 2026 | Covered |