New CPT Codes for Adaptive Behavior Services: What ABA Providers Need to Know

New CPT Codes for Adaptive Behavior Services: What ABA Providers Need to Know (2019)

with Jenna W. Minton, Esq.

Recently, the American Medical Association CPT® Editorial Panel released eight new Category I and two revised Category III (temporary) CPT codes for billing “adaptive behavior” services. These codes will take effect and be available for use January 1, 2019. Adoption of those codes by health plans will directly affect ABA providers, practices, and consumers. This tutorial will provide an overview of the new and modified codes, possible valuation approaches payers may take; differences between the Category III and Category I CPT ABA codes; and information related to navigating various payer implementations of these codes.

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