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97157 Service Type Codes to Send

CPT code

ABA multiple-family group training

Why these codes

HIPAA 5010 has no ABA code. Most payers carry ABA under the mental health benefit (autism mandates sit there); some answer under cognitive therapy, a few only under medical care.

If a payer returns nothing

Payers don't all answer every service type. Send 30 (Health Benefit Plan Coverage) for the plan's general benefits.

Sources

X12 HIPAA 5010 service type code definitions; VerifyTX billing practice

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