CPT^® 97151, Under Adaptive Behavior Assessment Procedures

The Current Procedural Terminology (CPT^®) code 97151 as maintained by American Medical Association, is a medical procedural code under the range - Adaptive Behavior Assessment Procedures.

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Summary

The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he scores the test, interprets the results, develops a plan of care, prepares a report, and discusses his findings and recommendations with the parent, guardian, and/or caregiver. Report this code for each 15 minutes that the provider spends in face–to–face time with the patient and non–face–to–face time analyzing past data.

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ABA Billing

Thhose codes were used temporily most payors have updated codes to 97151,97153 ect......... [ Read More ]

ABA Billing

we use 97151 for the initial assessment .. 97153 for aba therapy, 97155 for supervision of the techs , 97154 for group and 97156 for parent training. With Modifiers ,, HM ,HN, HO ( depends on there ... [ Read More ]

Observation in the school (ABA provider)

Hello! Im looking for some help on what CPT code would fit in this situation. I have a BCBA who was contacted by one of our past ABA clients mom (child is 7, has an autism diagnosis) who is stating th... [ Read More ]

Can you bill 99392-25 with 96110-59?

Here's the full description for 96110: The provider uses a standardized form to analyze the presence of any developmental disorder, typically during infancy or adolescence, any delay in a child’s de... [ Read More ]

Will it be appropriate change G9012 that was billed to the primary insurance into CPT code 97151 to bill secondary insurance?

Background: Primary insurance allowed G9012 to be billed for Case Management, but secondary insurance doesn't because the service is considered a bundle for CPT code 97151. The claim with code G9012 w... [ Read More ]

Requirements for 90791

This is what I've found for code 90791. The 2019 CPT book lists a star next to this code. If you look under code symbols the star designates a telemedicine code. The lay terms for 90971 are as follo... [ Read More ]

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