CPT Codes & Billing

In-depth guides on CPT codes 97151-97158 for ABA services, billing requirements, insurance compliance, and revenue cycle management for ABA practices.

78 Resources
Expert Content
Minimalist line art of two distinct hands holding separate clipboards, representing the documentation differences between CPT 97151 vs 97152 in ABA assessment procedures for BCBAs.
CPT 97151

CPT 97151 vs 97152: ABA Billing Guide for BCBAs

Discover CPT 97151 vs 97152 differences in ABA billing. Master documentation, compliance, and audit tips for BCBAs to ensure BACB alignment.

January 31, 2026 • 6 min read
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Minimalist line art illustration of three overlapping folders with a paused clock emerging, symbolizing ABA credentialing delays. Floating documents represent shifting standards and paperwork essential for BCBAs, reinforcing the impact and challenges discussed in the blog post.
ABA Compliance

ABA Credentialing Delays 2025: NCQA Changes & Fixes

Discover how NCQA changes are causing ABA credentialing delays in 2025. Get key updates, docs checklist & payer tips to secure revenue. Act now!

January 31, 2026 • 6 min read
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Minimalist line art illustration for Optum ABA billing 2026 shows a clipboard being passed between two hands with puzzle and key motifs, symbolizing compliance and clarity in NPI and taxonomy requirements.
Billing

Optum ABA Billing 2026: Key Changes for BCBAs

Navigate Optum ABA billing 2026 changes for commercial claims. Master NPI taxonomy rules, BCBA compliance steps, documentation tips, and denial-proof checklist.

January 30, 2026 • 5 min read
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Minimalist line art of a bridge connecting telehealth tools on one side and in-person ABA care symbols on the other, visually representing the transition for ABA telehealth 2025 documentation changes.
BCBA

ABA Telehealth 2025: CMS Flex Ends Sept 30 – Prepare Now

Urgent: ABA telehealth 2025 CMS flex expires Sept 30. Ensure billing compliance with 97153 docs, hybrid prep checklist & action steps for seamless transition.

January 27, 2026 • 6 min read
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Minimalist line art illustration representing the ABA CPT codes glossary: an open filing cabinet with flowing paperwork handed from one person to another, symbolizing clarity and streamlined guidance in ABA billing and documentation.
CPT Codes

ABA CPT Codes Glossary: Essential Billing Terms

Master ABA CPT codes glossary with definitions for 97151-97158, modifiers, documentation requirements, and compliance checklists. Perfect for RBTs and BCBAs.

January 23, 2026 • 5 min read
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Minimalist line art illustration for 'Aetna ABA prior auth' blog post, showing a hand placing the final puzzle piece in a bridge made of clipboards to symbolize completing essential documentation for ABA prior authorization updates.
BCBA

Aetna ABA Prior Auth 2025: Key Changes & Checklist for BCBAs

Stay ahead of Aetna ABA prior auth 2025 changes: FL/NJ specifics, timelines, required docs & submission checklist for BCBAs.

January 23, 2026 • 5 min read
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Minimalist line art comparing CPT 97157 vs 97158: a group of caregivers working together, contrasted with a group including a patient, highlighting the difference between caregiver training and client-focused ABA group treatment.
CPT 97158

CPT 97157 vs 97158: Documentation Guide for BCBAs

Struggling with CPT 97157 vs 97158 documentation? Learn key differences for group caregiver training and adaptive behavior treatment to ensure compliance and reimbursement for BCBAs.

January 19, 2026 • 7 min read
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Minimalist line art of a balanced seesaw resting on a folder, with a feather on one end and stacked blocks on the other, creatively illustrating ABA intensity justification documentation for insurance purposes.
ABA Compliance

ABA Intensity Justification Documentation Guide

Struggling to justify high-intensity ABA? Discover clinical criteria, FBA evidence, and compliance tips to document medical necessity and secure approvals.

January 19, 2026 • 6 min read
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Minimalist line art on pastel mint shows a hand adjusting balance scales with healthcare and ABA elements, visually representing Medicare PFS ABA 2025 billing challenges and compliance strategies.
BCBA

Medicare PFS ABA 2025: Billing Cuts & Checklist for BCBAs

Urgent: Medicare PFS ABA 2025 changes hit ABA billing. 2.83% cut, telehealth updates, denial risks. Grab 7-step compliance checklist now!

January 19, 2026 • 4 min read
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Minimalist line art illustration on a pastel sand background showing a balance scale, an open eye, and a child figure, visually representing CPT 97155 data justification and the balance of oversight with client complexity.
CPT Codes

CPT 97155 Data Justification: 7 Essential Metrics

Struggling with CPT 97155 audits? Master 7 data justification metrics for ABA therapy, from RBT fidelity to protocol changes, ensuring audit-proof documentation and medical necessity.

January 18, 2026 • 7 min read
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Minimalist line art of a filing cabinet with folders transforming into puzzle pieces and a hand arranging them, illustrating the organized approach to payer documentation terminology for BCBAs.
BCBA

Payer Documentation Terminology for BCBAs

Discover essential payer documentation terminology for BCBAs. Master Medical Necessity, LMN, Utilization Review, and more for compliant ABA billing.

January 17, 2026 • 5 min read
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Minimalist line art of a clipboard branching into a leaf, puzzle piece, and house, representing BCBA reassessment documentation CPT 97151 and visually capturing how clinical, data, and environmental triggers guide the reassessment process for insurance compliance.
CPT 97151

BCBA Reassessment Documentation: CPT 97151 Guide

Master BCBA reassessment documentation for CPT 97151 with data-driven triggers, clinical rationale, and a 5-step compliance checklist. Ensure insurance approval effortlessly.

January 16, 2026 • 7 min read
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