Navigating the billing process for ABA therapy involves understanding a specific set of adaptive behavior treatment codes used for the 2026 cycle. We use these codes to ensure your claims are processed accurately and transparently.
The most common CPT codes we utilize for your child’s sessions include:
- 97151: Used for the initial assessment performed by a Board Certified Behavior Analyst (BCBA).
- 97153: The code for direct 1:1 therapy delivered by a Registered Behavior Technician (RBT) in the home, school, or center.
- 97155: Used when a BCBA provides supervision and modifies your child’s personalized therapy plan.
- 97156 & 97157: These codes cover caregiver training and parent coaching, whether conducted individually or in a group setting.
- 97158: Applied for group treatment sessions.
In addition to these base codes, we apply ABA billing modifiers to provide necessary context to your insurance provider. For example, modifier -95 or GT is used for telehealth services, while others like -HA or -HN specify the provider’s level of education or the setting of the care.
Our team provides hands-on support by managing insurance verification and prior authorization for you. Please remember to verify your specific insurance coverage, as results may vary and prior authorization is typically required. The information provided here is not a substitute for professional medical advice.
Hands-on ABA therapy for children who learn differently. Real progress, real connection, and care that comes straight from the heart.