CPT/HCPCS code Description 97153 Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient; each 15 minutes.Adaptive behavior treatment codes 97154, 97155, 97158 describe services that address specific treatment targets and goals based on results of previous assessments [see 97151, 97152] and include ongoing assessment and adjustment of treatment protocols, targets, and goals. 97154 Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutes.Do not report 97154 with 90785-90899, 92508, 96105-96171, 97150. 97155 Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes. Do not report with 90785-90899, 92507, 96105-96171, 97150. 97158 Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional face-to-face with multiple patients, each 15 minutes.Do not report with 90785-90899, 96105-96171, 92508, 97150.
CPT/HCPCS code
Description
97153
Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient; each 15 minutes.Adaptive behavior treatment codes 97154, 97155, 97158 describe services that address specific treatment targets and goals based on results of previous assessments [see 97151, 97152] and include ongoing assessment and adjustment of treatment protocols, targets, and goals.
Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient; each 15 minutes.
Adaptive behavior treatment codes 97154, 97155, 97158 describe services that address specific treatment targets and goals based on results of previous assessments [see 97151, 97152] and include ongoing assessment and adjustment of treatment protocols, targets, and goals.
97154
Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutes.Do not report 97154 with 90785-90899, 92508, 96105-96171, 97150.
Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutes.
Do not report 97154 with 90785-90899, 92508, 96105-96171, 97150.
97155
Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes. Do not report with 90785-90899, 92507, 96105-96171, 97150.
Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes.
Do not report with 90785-90899, 92507, 96105-96171, 97150.
97158
Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional face-to-face with multiple patients, each 15 minutes.Do not report with 90785-90899, 96105-96171, 92508, 97150.
Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional face-to-face with multiple patients, each 15 minutes.
Do not report with 90785-90899, 96105-96171, 92508, 97150.
It’s important to note that codes are updated yearly by the American Medical Association (AMA); therefore, the listing above is subject to change.
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