How to bill BrainCheck cognitive testing when delivered via telehealth, including CPT codes, required modifiers, and documentation tips.
Overview
BrainCheck cognitive testing can be administered remotely using secure telehealth workflows. Correct coding and modifier use ensure your claims are processed successfully and meet payer requirements.
Telehealth-Eligible CPT Codes
Code | Service | Description | Time Requirement | Notes |
96136 | Assess Administration | Neurocognitive test administration by a medical professional | First 30 minutes (minimum 16 minutes) | Can be delivered via phone (audio-only) or video conference with audio & visual; must be proctored if patient completes Assess remotely |
96138 | Assess Administration | Neurocognitive test administration by a technician | First 30 minutes (minimum 16 minutes) | Can be delivered via phone (audio-only) or video conference with audio & visual; must be proctored if patient completes Assess remotely |
96132 | Assess Interpretation | Test interpretation, medical decision making | First hour (minimum 31 minutes) | Can be delivered via phone (audio-only) or video conference with audio & visual |
99483 | Care Plan | Cognitive care planning (separate visit) | Standalone visit, billable every 6 months (180 days) | Must be face-to-face via video conference with both audio & visual; not billable for phone-only visits |
Modifiers for Telehealth
If you opt to bill any of the BrainCheck codes via telehealth, follow these guidelines:
96136, 96138, and 96132 can be billed via telehealth, either audio-only or audio & visual on a Zoom call. Telehealth is covered until December 31, 2027 for 96136, 96138, and 96132. Monitor CMS updates for any changes after that date.
If the patient completes Assess remotely, it must be proctored (phone or Zoom call).
99483 must be face-to-face via Zoom or another video platform with both audio and visual; cannot be done audio-only.
Required Modifiers:
93 – Audio-only telehealth
95 – Audio & visual telehealth
Documentation Requirements
To support telehealth billing:
Document patient consent for telehealth.
Specify telehealth delivery method (audio-only or audio & visual).
Attach the BrainCheck report to the patient’s chart.
Use ICD-10 codes supporting medical necessity (see Billing Overview for BrainCheck).