# CPT 96127: Brief emotional/behavioral assessment, with scoring and documentation

Medicare CPT 96127 pays $5.01 in a non-facility setting and $5.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $4.19 in Arkansas to $5.88 in District of Columbia, a 40% spread.

Web page: https://www.med-reveal.com/rates/96127-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Family Medicine, Marriage & Family Therapist, Methadone Clinic, Pediatrics, Psychiatry & Neurology, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $5.01 |
| National facility | $5.01 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $5.88 | $5.88 |
| California | $5.71 | $5.71 |
| New York | $5.67 | $5.67 |
| New Jersey | $5.63 | $5.63 |
| Washington | $5.60 | $5.60 |
| Massachusetts | $5.54 | $5.54 |
| Hawaii | $5.51 | $5.51 |
| Connecticut | $5.44 | $5.44 |
| Florida | $5.34 | $5.34 |
| Colorado | $5.24 | $5.24 |
| Maryland | $5.24 | $5.24 |
| Oregon | $5.17 | $5.17 |
| Alaska | $5.16 | $5.16 |
| New Hampshire | $5.16 | $5.16 |
| Illinois | $5.15 | $5.15 |
| Rhode Island | $5.13 | $5.13 |
| Puerto Rico | $5.06 | $5.06 |
| Virgin Islands | $5.06 | $5.06 |
| Montana | $5.01 | $5.01 |
| Nevada | $4.96 | $4.96 |
| Pennsylvania | $4.94 | $4.94 |
| Delaware | $4.92 | $4.92 |
| Wyoming | $4.92 | $4.92 |
| Minnesota | $4.91 | $4.91 |
| Texas | $4.91 | $4.91 |
| Michigan | $4.87 | $4.87 |
| Georgia | $4.86 | $4.86 |
| Virginia | $4.83 | $4.83 |
| Arizona | $4.82 | $4.82 |
| North Dakota | $4.81 | $4.81 |
| Vermont | $4.80 | $4.80 |
| South Dakota | $4.79 | $4.79 |
| Utah | $4.70 | $4.70 |
| New Mexico | $4.69 | $4.69 |
| Maine | $4.68 | $4.68 |
| Louisiana | $4.62 | $4.62 |
| Missouri | $4.62 | $4.62 |
| Ohio | $4.61 | $4.61 |
| South Carolina | $4.60 | $4.60 |
| North Carolina | $4.58 | $4.58 |
| Wisconsin | $4.58 | $4.58 |
| West Virginia | $4.54 | $4.54 |
| Indiana | $4.50 | $4.50 |
| Idaho | $4.46 | $4.46 |
| Kentucky | $4.46 | $4.46 |
| Nebraska | $4.44 | $4.44 |
| Oklahoma | $4.44 | $4.44 |
| Tennessee | $4.43 | $4.43 |
| Iowa | $4.41 | $4.41 |
| Kansas | $4.40 | $4.40 |
| Alabama | $4.28 | $4.28 |
| Mississippi | $4.27 | $4.27 |
| Arkansas | $4.19 | $4.19 |

## Related codes

- 90791: Psychiatric diagnostic evaluation — https://www.med-reveal.com/rates/90791-cpt-fee-schedule
- 90792: Psychiatric diagnostic evaluation with medical services — https://www.med-reveal.com/rates/90792-cpt-fee-schedule
- 90889: Preparation of report of patient's psychiatric status for other agencies/individuals — https://www.med-reveal.com/rates/90889-cpt-fee-schedule
- H0002: Behavioral health screening to determine eligibility for services — https://www.med-reveal.com/rates/H0002-hcpcs-fee-schedule
- H0031: Mental health assessment, by non-physician — https://www.med-reveal.com/rates/H0031-hcpcs-fee-schedule
- H2000: Comprehensive multidisciplinary evaluation — https://www.med-reveal.com/rates/H2000-hcpcs-fee-schedule
- H2010: Comprehensive medication services, per 15 minutes — https://www.med-reveal.com/rates/H2010-hcpcs-fee-schedule

Commercial negotiated rates for 96127 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules