January 1, 2019 CPT Code Changes for ABA

Karen Lee

New CPT Code Changes

On January 1, 2019 there will be changes to the existing Current Procedural Terminology (CPT) codes used for billing of Applied Behavior Analysis (ABA) services. These codes were approved because of a code change application submitted to the American Medical Association (AMA) CPT Editorial Panel in 2017.  These codes are broken down by Assessment and Treatment Levels and are a direct result of trying to ensure more quality service and determination between treatment levels of Autistic children.

New CPT Codes

Keep up to date with the newest insurance changes for ABA codes using the links below:

United Behavioral Health: https://www.providerexpress.com/content/ope-provexpr/us/en.html

Nevada Medicaid: https://www.medicaid.nv.gov/

Magellan/Presbyterian: https://www.magellanprovider.com/news-publications/state-plan-eap-specific-information/autism.aspx

Cigna: https://www.cigna.com/transformations/november-2018/2019-cpt-code-changes

For more information on these codes or questions regarding the implementation of the codes please contract Ponderosa Billing Services, Inc today! Call: 800-452-9284 or e-mail GetHelp@ponderosabilling.com

Page Last Updated: 12/7/2018