CPT Code 97151: Behavior Identification Assessment

CPT Code 97151: Behavior Identification Assessment

Learn about CPT Code 97151 for behavior identification assessment in ABA therapy, including billing guidelines, documentation, and related codes.

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Frequently asked questions

The 97151 CPT code description refers to the behavior identification assessment, a service conducted by a qualified health care professional to evaluate behavioral needs. It includes face-to-face and non-face-to-face activities like data analysis, interviews, and treatment plan development.

Typically, up to 32 billable units (8 hours) are allowed for an initial assessment, while reassessments may be billed up to 12 units (3 hours). Additional units can be justified if medical necessity is properly documented in the progress notes.

The behavior identification assessment is a process used in ABA therapy to assess the client’s behavioral history and current needs. This assessment guides treatment plan development and includes reviewing past data, conducting observations, and collaborating with caregivers.

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