Recent News
ABA Coding Coalition Letters in Support of ABA Providers
January 21, 2026 As 2025 came to an end and 2026 has begun, the Coalition continues to advocate for the ABA community, reaching out to several Medicaid and Commercial payors, based on provider feedback and inquiries. To submit inquiries or concerns regarding the use of theadaptive behavior CPT® codes, use the Contact feature on the […]
Summary of 2025 ABA Coding Coalition Activities
December 17, 2025 Letters of Advocacy The Coalition has been busy advocating for the ABA community over the past several months. Thanks to feedback and inquiries submitted through our website, we have been able to engage with numerous Medicaid (AR, IN, KY, PA, SC, TN, VA, VT, and WI) and commercial (Michigan Aetna and BCBS […]
CMS Issues Final 2026 Medicare Physician Fee Schedule
November 4, 2025 On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the Final 2026 Medicare Physician Fee Schedule (MPFS). Here are the key provisions pertaining to ABA services: Carrier Pricing of ABA CPT Codes CMS extended carrier pricing of the CPT codes for adaptive behavior/ABA services through 2026. That means […]
ABA CPT Codes Update
October 7, 2025 The ABA Coding Coalition (composed of APBA, Autism Speaks, the BACB, and CASP), in collaboration with the ABAI Billing Codes Commission, is pleased to announce that a code change application submitted to the American Medical Association (AMA) CPT® Editorial Panel was approved during the Panel’s September 2025 meeting. The publicly available CPT Panel action […]
ABA Coding Coalition Requests Reconsideration of NH Medicaid Proposal to Discontinue Coverage of Code 97155
August 20, 2025 On June 26, 2025, the New Hampshire Department of Health and Human Services (DHHS), Division of Medicaid Services issued a news alert indicating that DHHS was proposing several changes to Medicaid coverage of the CPT® codes for adaptive behavior/ABA services effective July 1, 2025. The key changes were The Coalition wrote to […]
CMS Releases Proposed 2026 Medicare Physician Fee Schedule
July 17, 2025 On July 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the Notice of Proposed Rulemaking for the 2026 Medicare Physician Fee Schedule (MPFS). Here are the key provisions pertaining to ABA services: Carrier Pricing of ABA CPT Codes CMS extended carrier pricing of the CPT codes for adaptive behavior/ABA […]
CMS Finalizes 2025 Medicare Physician Fee Schedule
November 7, 2024 On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Notice of Final Rulemaking for the 2025 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 […]
Aetna Rescinds Policy Ending Telehealth Coverage for ABA Services in December 2023
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 […]
New CPT® Code Available to Report the Use of Virtual Reality Technology with Therapeutic Services
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, […]
CMS Finalizes 2024 Medicare Physician Fee Schedule
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 […]