CPT^® 97158, Under Adaptive Behavior Treatment Procedures

The Current Procedural Terminology (CPT^®) code 97158 as maintained by American Medical Association, is a medical procedural code under the range - Adaptive Behavior Treatment Procedures.

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Summary

The provider administers adaptive behavior treatment to multiple patients in a social skills group. Report this code for each 15 minutes that the provider spends face–to–face with multiple patients in a group setting.

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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 ]

Social groups (ABA)

[QUOTE="nicole.osgood@hchs.com, post: 496826, member: 756033"] Yes. My ABA agency utilizes 97158 and the BCBA running that group can have clients in the group that are under other BCBA's. We have not ... [ Read More ]

Social groups (ABA)

[QUOTE="Jdiane2011, post: 495553, member: 587432"] We treat children with autism and since summer has begun we are starting social groups (97158). Is it ok for a BCBA to run a group with a patient tha... [ Read More ]

Social groups (ABA)

We treat children with autism and since summer has begun we are starting social groups (97158). Is it ok for a BCBA to run a group with a patient that is on another BCBA's caseload..(Commercial insura... [ 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 ]

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 ]

OT's & SLP's billing new ABA codes

Hi, I currently bill the new CPT codes for ABA therapy for kiddos with Autism. I have only billed them when the therapy is provided by or under the supervision of a BCBA. I have recently seen a few a... [ Read More ]

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