Understanding psychological testing versus neuropsychological testing

It’s common for there to be some confusion among plan providers and members regarding psychological testing versus neuropsychological testing. The two terms are not always considered synonymous with regard to provider referrals and oftentimes can be differentiated based on the provider’s concerns.

Neuropsychological testing typically is performed to evaluate neurological or neuropsychiatric disorders and is covered under the medical benefit when medically necessary to assist in the development of a treatment plan.

Psychological testing, on the other hand, is covered under the behavioral health benefit and typically involves evaluating personality, dimensions of psychopathology and behavior. Psychological testing may also entail evaluating intelligence and academic performance when these tests are needed to aid in diagnosis and the development of a treatment plan.

Please refer to the following medical policy for a more detailed review of policy and applicable exclusions: Neuropsychological and Psychological Testing – Policy #91537.

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