Wiki Help with coding Autism

[Codernana]

Where can I find requirements and CPT coding for Autism? Links?

 

[valpresiousdavis]

Where can I find requirements and CPT coding for Autism? Links?

The ABA Coding Coalition and CASP are great resources for ABA billing and coding crosswalks.

https://abacodes.org/

 

[amyjph]

Agree with the links above.
Most payers have very robust rules/guidelines/sections for this type of coding too.
The CPT chapter guidelines for things like ABA 97151, etc. have information and the code descriptions themselves.

Examples:

https://www.uhcprovider.com/content/dam/provider/docs/public/commplan/wa/behavioral-health/WA-BH-ABA-Orientation-Guide.pdf

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/oxford/autism-ohp.pdf