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.

66 Resources
Expert Content
Minimalist line art on pastel lavender illustrates ABA setting justification documentation with a folder branching to a house, clinic, and signpost, reflecting the process of documenting treatment environment decisions in behavioral therapy.
BCBA

Essential ABA Setting Justification Documentation for BCBAs

Master ABA setting justification documentation for BCBAs. FAQs on home vs clinic rationale, medical necessity, transitions, and audit pitfalls ensure payer compliance and reimbursement.

January 12, 2026 • 5 min read
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Minimalist line art of a blank clipboard and a poised hand with pen, visually representing CPT 97155 no protocol modification and the decision point on documenting without unnecessary changes.
CPT Codes

CPT 97155 No Protocol Mod: BCBA Documentation Guide

Struggling with CPT 97155 no protocol modification? Discover compliant BCBA documentation tips, 97155 vs 97157 differences, and ethical billing strategies to avoid audits.

January 12, 2026 • 7 min read
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A minimalist line art illustration on a pastel lavender background depicts a clipboard, guiding hand, puzzle pieces, and a calendar clock to symbolize CPT 97157 documentation updates and the essential supervision process.
BCBA

CPT 97157 Documentation Updates 2025: BCBA Guide

Struggling with CPT 97157 audits? Master 2025 updates for BCBA non-face-to-face supervision. Learn docs, tips, and pitfalls to stay compliant.

January 12, 2026 • 7 min read
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Minimalist line art illustration on a pastel peach background showing a tree with one solitary trunk and one trunk splitting into multiple stems. This visual metaphor highlights the difference between CPT 97153 vs 97154 individual and group ABA therapy documentation.
CPT 97153

CPT 97153 vs 97154: Documentation Guide for BCBAs

Compare CPT 97153 (1:1) vs 97154 (group) in ABA therapy. Master RBT documentation, BCBA oversight notes, justify medical necessity for peer interactions, avoid common pitfalls, and use our actionable compliance checklist.

January 7, 2026 • 7 min read
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Minimal line art shows a key unlocking a detailed filing cabinet with drawers opening in sequence, symbolizing the CPT 97155 unbundled authorization process and the layered approach to new BCBA documentation standards.
CPT Codes

Essential Guide to CPT 97155 Unbundled Authorization

Discover CPT 97155 changes: Unbundled authorization guide with documentation requirements, workflow impacts, and audit prep for effective BCBA practice.

January 7, 2026 • 7 min read
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Minimalist line art illustration of a hand with a magnifying glass adjusting a branching path with pebbles, representing CPT 97155 audit documentation and real-time protocol modification in clinical practice.
CPT Codes

CPT 97155 Audit Documentation: BCBA Compliance Guide

Navigate CPT 97155 audits with expert documentation tips on protocol modifications, data strategies, and session notes. Build audit-proof narratives and checklists for BCBAs.

January 7, 2026 • 8 min read
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Minimalist line art of a hand supporting a clipboard balanced with a scale, pebbles falling onto each side to symbolize ABA utilization documentation. The illustration visually represents careful tracking, ethical practice, and the balance of client care in utilization management.
Billing

ABA Utilization Documentation: VOB Tracking Guide

Struggling with ABA utilization documentation? Learn VOB verification, real-time tracking, and BACB ethics to ensure uninterrupted services.

January 6, 2026 • 5 min read
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Minimalist line art of hands documenting caregiver fidelity for CPT 97156 Caregiver Documentation, showing a puzzle piece placed on an open notebook to symbolize data-driven ABA training records.
CPT 97156

CPT 97156 Caregiver Documentation Guide for BCBAs

Master CPT 97156 caregiver competency documentation for BCBAs. Use data-driven strategies like fidelity checklists to track ABA parent training, avoid pitfalls, and ensure insurance compliance.

January 6, 2026 • 6 min read
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Minimalist line art showing a magnifying glass examining puzzle pieces that form into a bridge lifted by hands, illustrating the clinical rationale process in ABA reauthorization. This visual connects puzzle-solving with supportive justification for continued ABA services.
BCBA

Clinical Rationale for ABA Reauthorization: BCBA Guide

Master BCBA reauthorization narratives. Build a solid clinical rationale linking ABA services to medical necessity and prevent service disruptions.

January 6, 2026 • 6 min read
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Minimalist line art of a sturdy tree with three strong roots anchoring smooth pebbles, symbolizing data tiers for high-intensity ABA justification. An hourglass in the branches evokes ongoing documentation and payer scrutiny in ABA services.
ABA Compliance

High-Intensity ABA Justification: Medical Necessity Guide

Facing payer audits on high-intensity ABA? Master documentation with three-tier data, best practices for linking metrics to units, and checklists to prove medical necessity.

January 6, 2026 • 7 min read
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Minimalist line art of a magnifying glass focusing on a branching tree, symbolizing BCBA re-assessment medical necessity by highlighting decision points, growth, and careful review central to behavioral health evaluations.
BCBA

BCBA Re-Assessment Medical Necessity Checklist

Struggling to justify CPT 97151? Learn BCBA re-assessment medical necessity documentation with our checklist: triggers, components, and steps for approval.

January 6, 2026 • 7 min read
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Minimalist line drawing of a hand holding a magnifying glass over a bridging puzzle, illustrating BCBA data for reauthorization by highlighting the journey from incomplete to robust documentation—emphasizing thoroughness and clear progression for effective audits.
BCBA

Essential BCBA Data Tips to Prevent Reauthorization Denials

Avoid ABA insurance denials: Master BCBA data for reauthorization. Learn 5 documentation pitfalls, practical tips, and a checklist to ensure medical necessity.

January 6, 2026 • 6 min read
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