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Attention Applied behavior analysis (ABA) providers:
Effective for dates of service on and after April 24, 2023, the Health Care Authority (HCA) requires prior authorization (PA) for CPT® code 0373T, adaptive behavior treatment.
HCA recently discovered that the PA requirement was missing for CPT® code 0373T in the billing guide and associated fee schedule.
HCA will revise the Applied Behavior Analysis (ABA) Program Billing Guide and the ABA fee schedule to reflect this change with an effective date of April 24, 2023. See HCA’s Provider billing guides and fee schedules web page.
Please contact the ABA program with any questions.
CPT is copyright © 2022 American Medical Association. All rights reserved.
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