Anthem Blue Cross and Blue Shield Virginia policy
Applied Behavior Analysis (ABA) Provider Resource Guide
Applied Behavior Analysis (ABA) Provider Resource Guide is a public Anthem Blue Cross and Blue Shield Virginia policy (policy MULTI-BCBS-CM-072378-24-CPN72366). It lists 10 CPT or HCPCS codes, 10 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- MULTI-BCBS-CM-072378-24-CPN72366
- Line of business
- Commercial
- States
- CT, GA, IN, KY, ME, MO, NH, OH, VA
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross and Blue Shield Virginia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Virginia policies |
|---|---|---|---|
| 0362T | On the list | Behavior identification supporting assessment, each 15 minutes of technicians' time face-to- face with a patient, requiring the following components: administration by the phys | Policies naming 0362T |
| 0373T | On the list | Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components: administration by | Policies naming 0373T |
| 97151 | On the list | Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care | Policies naming 97151 |
| 97152 | On the list | Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with | Policies naming 97152 |
| 97153 | On the list | 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 patie | Policies naming 97153 |
| 97154 | On the list | 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 | Policies naming 97154 |
| 97155 | On the list | Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of tech | Policies naming 97155 |
| 97156 | On the list | Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with gua | Policies naming 97156 |
| 97157 | On the list | Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face w | Policies naming 97157 |
| 97158 | On the list | Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each | Policies naming 97158 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list