ADHD Testing at Monarch Counseling: Clarity, Options, and Next Steps
What ADHD Testing Involves
A comprehensive assessment typically includes intake questions, behavior checklists, educational and medical history, and structured testing to evaluate attention, learning, and executive functioning.
The goal is to determine whether ADHD is present, whether there are additional diagnoses, needs for additional follow-up, and to identify specific strengths and challenges, so we can tailor recommendations for supports and accommodations.
Making Sense of ADHD Testing: Insurance and CPT Codes
- ADHD testing coverage depends on your individual policy. CPT codes billed for ADHD testing may come into play, depending on the services used.
- Some policies allow ADHD testing to be billed under mental health services while others allow coverage under medical services.
- Some have restrictions on the types of providers who can conduct testing for ADHD.
- Deductibles: A high-deductible plan may mean higher out-of-pocket costs, while low-deductible plans may involve paycheck deductions that are higher.
- There’s no universal provider choice that guarantees insurance coverage for ADHD testing; coverage depends on your policy and CPT codes. It’s important to verify with your insurer or employer about what is covered, and which CPT codes apply.
Planning for ADHD Testing Costs
If your plan is renewing in January or July, explore options to increase coverage for ADHD testing.
Consider whether a high-deductible or low-deductible plan matches your anticipated out-of-pocket costs for testing and whether paying out-of-pocket at the time of service or spreading costs throughout payroll deductions is preferable.
If you’re considering ADHD testing, contact Monarch Counseling to discuss the testing process.