Kaiser Permanente (Georgia region) psychological testing coverage: codes, limits and the state law
The short answerPer Kaiser Permanente's Georgia region criteria, outside neuropsychological evaluations (96132 to 96139) are reviewed against what Kaiser can do internally. Suspected ASD, ADHD and mood disorders are routed to behavioral health instead.
By Javier Alvarez · Updated · 1 min read
1 row: Kaiser Permanente · Georgia. Public policy, not the member's benefits.
Kaiser Permanente (Georgia region)
Kaiser Permanente Georgia region review criteria 01-14, last revised 4/16/2026 · Georgia
| 96132 | Limited (neuropsychological evaluation, first hour (listed in the Georgia region neuropsychological evaluation criteria)) [1] |
|---|---|
| 96133 | Limited (add-on, each additional hour (listed in the Georgia region neuropsychological evaluation criteria)) [1] |
| 96136 | Limited (test administration and scoring, first 30 minutes (listed in the Georgia region neuropsychological evaluation criteria)) [1] |
| 96137 | Limited (add-on, each additional 30 minutes (listed in the Georgia region neuropsychological evaluation criteria)) [1] |
| 96138 | Limited (technician administration and scoring, first 30 minutes (listed in the Georgia region neuropsychological evaluation criteria)) [1] |
| 96139 | Limited (add-on, technician, each additional 30 minutes (listed in the Georgia region neuropsychological evaluation criteria)) [1] |
| Where it applies | The criteria cover neuropsychological evaluations in the Georgia region. [1] |
| State law | Not covered services include learning disability assessments, disability determination, educational services qualification, court-directed evaluations and IQ determination. [1] |
| Diagnoses | Indications include a diagnosed or suspected neurological disorder with behavioral, emotional or cognitive changes, and differential diagnosis of neurological versus psychological conditions. [1] |
| Visit limits | Requests for outside adult and child and adolescent evaluations are first reviewed to see whether Kaiser Permanente can provide the service internally. If it can, the outside evaluation is not approved. [1] |
| Also | Contraindications include suspected developmental delay alone, and conditions better served by behavioral or psychoeducational assessment, such as suspected ASD at any age. ADHD, mood disorders and autism are listed as conditions for behavioral health or pediatric evaluation. [1] |
What Kaiser Permanente (Georgia region)'s documents say
The table above has every field we found for Kaiser Permanente (Georgia region), with numbered sources. In short:
- Visit limits. Requests for outside adult and child and adolescent evaluations are first reviewed to see whether Kaiser Permanente can provide the service internally. If it can, the outside evaluation is not approved.
- Where it applies. The criteria cover neuropsychological evaluations in the Georgia region.
- Codes. 96132, 96133, 96136, 96137, 96138 and 96139 are limited.
Check Kaiser Permanente (Georgia region)'s claim against the row
Before the claim goes out, compare it with the row above: the evaluation and administration codes pair the way the policy says, the hours fit any cap, the referral question is documented, and prior authorization covers the units. The psychological testing table compares Kaiser Permanente with every other payer we checked.