Recent News
December 11, 2023 Earlier this year, Aetna issued a statement indicating that they would be ending telehealth coverage of CPT codes 97151, 97153, 97155, 97156, and 97157 as of December 1, 2023. The Coalition wrote to the company in November to ask that they continue telehealth coverage of those services when medically necessary and add telehealth […]
November 16, 2023 New Category III CPT® code 0770T for reporting the use of virtual reality technology during therapies (e.g., psychotherapy, speech therapy, health behavior intervention, occupational therapy, physical therapy, adaptive behavior/ABA services) went into effect on January 1, 2023. Only the practice expense associated with use of the technology is billable. That includes technician time, […]
November 3, 2023 On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the Notice of Final Rulemaking for the 2024 Medicare Physician Fee Schedule (MPFS). Here are the key provisions affecting ABA services: Proposed Carrier Pricing of ABA CPT Codes CMS extended carrier pricing of the CPT codes for adaptive behavior/ABA […]