CPT codes

New ABA Therapy CPT Codes for 2024

The landscape of Applied Behavior Analysis (ABA) therapy is ever-evolving, with changes in Current Procedural Terminology (CPT) codes being a significant aspect that practitioners must stay abreast of. The American Medical Association (AMA) ensures that CPT codes accurately reflect the current healthcare environment, necessitating regular updates. For ABA therapy practices, understanding and adapting to these changes is crucial for accurate billing and reimbursement. As we move into 2024, several new CPT codes have been introduced, marking important updates for [...]

By |February 8th, 2024|Categories: Tips|Tags: |0 Comments

CPT Code 0770T for Virtual Reality in ABA Therapy

The integration of technology in therapy has taken a significant leap with the introduction of the new Category III CPT® code 0770T, effective from January 1, 2023. This code is designated for reporting the use of virtual reality (VR) technology in various therapeutic services, including Applied Behavior Analysis (ABA) therapy. This article delves into the specifics of this new code, its applications in ABA therapy, and scenarios where it is applicable, as well as clarifying common misconceptions. What is [...]

By |November 29th, 2023|Categories: Tips|Tags: , |0 Comments

What is CPT Code 97154: A Deep Dive into Group ABA Therapy Billing

In the world of Applied Behavior Analysis (ABA) therapy billing, understanding the nuances of each Current Procedural Terminology (CPT) code is essential. Among the myriad of codes available, CPT Code 97154 holds a unique place, specifically addressing group ABA therapy sessions. This article aims to shed light on this particular code, offering insights into its application and importance in the ABA billing landscape. What is CPT Code 97154? CPT Code 97154 is defined as "Adaptive behavior treatment with protocol [...]

By |October 10th, 2023|Categories: Tips|Tags: |0 Comments

What is CPT Code 97153: A Comprehensive Guide for ABA Therapy Billing

In the world of Applied Behavior Analysis (ABA) therapy billing, understanding the nuances of Current Procedural Terminology (CPT) codes is crucial. One such code that frequently comes into play is 97153. This article aims to provide a comprehensive understanding of this code, its applications, and its significance in ABA therapy. What is CPT Code 97153? CPT Code 97153 is designated for "Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified healthcare [...]

By |October 9th, 2023|Categories: Tips|Tags: , |0 Comments

What is CPT Code 97152: A Comprehensive Guide for ABA Therapists

In the ever-evolving landscape of ABA therapy billing, staying updated with the latest CPT codes is crucial. One such code that has garnered attention is CPT code 97152. This article aims to demystify this code, offering insights into its application, nuances, and best practices. What is CPT Code 97152? CPT code 97152 stands for "Behavior identification supporting assessment, administered by one technician under the direction of a physician or other qualified healthcare professional, face-to-face with the patient, each 15 [...]

By |October 9th, 2023|Categories: Tips|Tags: |0 Comments

The Evolution and Impact of CPT Codes: A Comprehensive Guide

Current Procedural Terminology (CPT) codes are an integral part of the healthcare industry. They provide a standardized language for medical, surgical, and diagnostic services, enabling clear communication among healthcare providers, patients, and insurers. This article will delve into the history, current use, and future of CPT codes, with a particular focus on their application in Applied Behavior Analysis (ABA) therapy billing. A Brief History of CPT Codes. What Are CPT Codes? The American Medical Association (AMA) introduced CPT codes [...]

By |July 21st, 2023|Categories: Tips|Tags: , |0 Comments

Transitioning from HCPCS to CPT Codes in ABA Services: A Practical Guide

In the world of medical billing, change is the only constant. As healthcare evolves, so do the systems and codes used to bill for services. One significant shift that practitioners in the field of Applied Behavior Analysis (ABA) may encounter is the transition from Healthcare Common Procedure Coding System (HCPCS) codes to Current Procedural Terminology (CPT) codes. This transition can be complex and daunting, but with the right knowledge and resources, it can be managed effectively. This article provides [...]

By |July 21st, 2023|Categories: Tips|Tags: , |0 Comments

How To Handle Unlisted Codes To Prevent Denials

The healthcare industry continues to evolve with new services, care devices, medications, and treatment techniques being developed each day. These advancements are entering the field faster than ever before. Many of them have new CPT codes affecting their use and applications. Yet the American Medical Association (AMA) can sometimes take as much as 18 months to 2 years to come out with modified CPT codes and instructions for some of these new advancements. This can lead to a plethora [...]

By |August 26th, 2022|Categories: Tips|Tags: , , |0 Comments

What Is CPT Code 99284 & How To Know When To Use It

Errors in medical billing codes tend to be one of the most common reasons that a claim is denied or rejected by mental and behavioral health payers. Not only can this lead to massive delays and inconsistencies in your practice’s revenue stream, but it can cause other long-term complications. A solo practitioner or a small practice that has frequent medical coding errors can sometimes draw a red flag from a private insurance company, public health institution, or another type [...]

By |July 21st, 2022|Categories: Tips|Tags: |0 Comments

What Is CPT Code 99202 & How To Know When To Use It

Knowing when and how to correctly apply a CPT code is one of the most challenging aspects of mental health insurance billing. It typically requires the memorization and correct application of a staggering array of CPT codes. For a lot of solo practitioners, small practices, and ABA therapists, knowing exactly when to use a specific CPT code and in what situation can feel daunting. Yet accuracy is exactly how providers secure prompt payment from a “Clean Claim” that is [...]

By |July 20th, 2022|Categories: Tips|Tags: |0 Comments