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December 2014

Guidelines have changed for autism procedure code S5108 for applied behavior analysis

The billing and documentation guidelines for procedure code S5108 have changed. Board-certified behavior analysts may no longer bill for supervision of relatives or guardians performing skills training.

For more details about this change, refer to the Applied Behavior Analysis Billing Guidelines and Procedure Codes document. You can find it online using these steps:

  • Log in to web-DENIS.
  • Click on BCBSM Provider Publications and Resources.
  • Click on Newsletters & Resources.
  • In the left-hand navigation under Other Resources, click on Clinical Criteria & Resources.
  • Under Resources, click on Autism.
  • Scroll to the bottom of the page and click on Applied Behavior Analysis Billing Guidelines and Procedure Codes.

The document is also available on BCN Provider Publications and Resources. Click on Autism.

For additional information, contact Provider Inquiry or your provider consultant.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.
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