According to the provided guide, CPT code 97153 is designated for direct 1-on-1 therapy. It is used to report hands-on ABA therapy services that focus on building a child’s communication, play, and daily living skills.
Key details regarding this code include:
- Provider: These services are typically delivered by a Registered Behavior Technician (RBT).
- Supervision: The RBT implements the plan under the supervision of a Board Certified Behavior Analyst (BCBA).
- Billing Structure: The code is reported for each 15-minute unit of therapy provided.
In contrast, supervision and treatment plan modifications are billed under a different code, 97155, which is used when a BCBA reviews progress or updates programs.