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Psychological Testing Request Type Update

Wednesday, January 9, 2019

Health Net Federal Services, LLC (HNFS) uses request types, or templates, in its online referral and authorization submission tools. Once a request type is chosen during the submission process, the system will auto-populate approved codes (or code ranges), the number of visits and the duration of the authorization. 

In response to TRICARE’s Outpatient Prospective Payment System (OPPS) 2019 coding updates that took effect Jan. 1, 2019, please be aware HNFS has discontinued the P52 and P53 request profiles for psychological testing and replaced them with a new request profile, P171. The TRICARE psychological testing benefit has not changed. HNFS has only aligned its online referral and authorization submission tools with the new OPPS coding.

Prior to Jan. 1, 2019 
Request type and description/CPT® codes 

  • P52: Psychological Testing: 90791–90792, 96101–96103
  • P53: Neuro Psychological Testing: 90791–90792, 96118–96120

Effective Jan. 1, 2019 
Request type and description/CPT® codes 

  • P171: Psychological/Neuropsychological Testing: 90791–90792, 96130–96146 

Please visit our How to Submit page for information on HNFS’ online submission tools, including step-by-step user guides and a printable request type guide.