To help you understand if your insurance plan will reimburse the full AAEC evaluation at the Western Evaluation Center for Autism and Neurodevelopmental Disorders at WMU, we have created a list of commonly used codes by providers. Please note that other codes may be used at the providers' discretion related to the services provided. This is not an exhaustive list.
Codes that are recognized or payable by your insurance does not guarantee the full payment. You are responsible for costs incurred that your insurance company does not cover. In the unlikely event of an overpayment, a refund will be issued to you.
Your medical insurance deductible will apply to all your charges received at the UC/WECAN. The deductible works similar to how your car insurance works - if you get an auto accident, you must first pay your deductible before the insurance company will pay to get your car fixed.
Please ensure that you contact your insurance company for any additional questions you may have regarding your insurance coverage.
|92523||Evaluation of speech sound production with evaluation of
language comprehension and expression
|96111||Developmental testing, interpretation and reporting|
|90791||Psychiatric diagnostic evaluation without medical services|
|90846||Family psychotherapy without the patient present|
|90847||Family psychotherapy with the patient present|
|96101||Psychological testing, interpretation and reporting|
|90887||Interpretation of results - Psychiatric with advice to family|
|92551||Pure tone hearing screening|
|99203||New patient visit, level III (30 min)|
|99204||New patient visit, level IV (45 min)|
|99205||New patient, level V (60 minutes, diagnostic)|
|99213||Established patient visit, level III (15 min)|
|99214||Established patient visit, level IV (25 min)|
|99215||Established patient visit, level V (40 min)|
|99367||Team conference with MD, without patient/family (30 min)|