CPT code 96112 covers the administration, interpretation, and reporting of standardized developmental tests for children for the first hour of testing. This code captures work performed by clinicians who evaluate developmental concerns—such as delays in speech, motor skills, social interaction, or adaptive functioning—and produce an interpretive report that informs diagnostic and care planning decisions. Nationally, use of formal developmental testing is a key component of pediatric and behavioral health services and affects access to early intervention and specialty care.

Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code’s clinical context, typical sites of service, common modifiers and billing considerations, and how 96112 relates to other assessment services. The publication also provides benchmarking and policy update highlights where available, along with practical coding notes that clarify when to report this code for the first hour of test administration. This summary is intended for clinicians, billing professionals, and policy analysts seeking a national-level reference on the use and implications of CPT code 96112.