![]() The AMA replaced or revised the following codes effective January 1, 2019:Įight new Category I codes for adaptive behavior assessments (9712) and adaptive behavior treatments (97153–97158) were added.įourteen associated Category III codes (0359T, 0360T, 0361T, 0363T–0372T and 0374T) have been deleted. What procedure codes does Aetna use for ABA?Īetna continues to use the American Medical Association (AMA) CPT® (Current Procedural Terminology®) codes for adaptive behavior treatment. See Autism Spectrum Disorders and Applied Behavior Analysis. Where can I find the Aetna clinical policy bulletin on autism spectrum disorders? See the Applied behavior analysis medical necessity guide (PDF). Where can I find the Aetna medical necessity guidelines for ABA? You may also use the ABA Treatment Request form (PDF), when applicable. Here’s more information on precertification. ![]() You can call the number on the member’s ID card and speak to a customer service representative. You can see these contact details or just call the number on the member’s ID card. Who can I contact with benefits and claims questions? Yes, ABA is on the Aetna® precertification list for behavioral health services. Applied behavior analysis (ABA) provider FAQs
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