November 6, 2018 On November 1, 2018 the Centers for Medicare & Medicaid Services (CMS) released the 2019 Medicare Physician Fee Schedule (MPFS) final rule. It includes the following statement regarding the new Category I and revised Category III CPT codes for adaptive behavior services: We note that we intended to assign a contractor price […]

October 19, 2018 In September, we distributed a code conversion table showing the most common HCPCS and 2014 Category III CPT codes that have been used to report applied behavior analysis (ABA) services to health plans, cross-referenced to the 8 new Category I and 2 modified Category III CPT codes that will go into effect […]

September 4, 2018 To help payers and providers achieve consistency in utilization and implementation of the new codes, we have prepared this coding conversion crosswalk. It indicates the most common HCPCS and 2014 Category III CPT codes that have been or are being used by payers to report ABA services, and cross references those older […]

August 16, 2018 The Centers for Medicare & Medicaid Services (CMS) has released its annual Notice of Proposed Rule Making (NPRM) for the 2019 Medicare Physician Fee Schedule (MPFS). In the NPRM, CMS did not discuss valuation for the eight new Category I codes and two modified Category III codes that will be used to […]