When billing commercial members, providers can use concurrent billing for some ABA procedure codes

Board-certified behavior analysts are now able to bill for the following applied behavior analysis procedures codes when services are provided to a patient by two providers at the same time:

• *97153 and *97155
• *97154 and *97155

This applies to Blue Cross Blue Shield of Michigan’s PPO (commercial) and BCN HMO^SM (commercial) members.

We updated the Applied Behavior Analysis Billing Guidelines and Procedure Codes document to reflect this change.

To access this document, visit bcbsm.com/providers and log in to Provider Secured Services. Click on web-DENIS on the Provider Secured Services homepage.

Once in web-DENIS, Blue Cross providers can find the document by following these steps:

1. Click on BCBSM Provider Publications and Resources.
2. Click on Newsletters & Resources.
3. Click on Clinical Criteria & Resources.
4. Scroll down and click on Autism under the Resources heading.
5. Click on Applied Behavior Analysis Billing Guidelines and Procedure Codes under the Autism provider resource materials heading.

BCN providers can:

1. Click on BCN Provider Publications and Resources.
2. Click on Autism on the left.
3. Click on Applied Behavior Analysis Billing Guidelines and Procedure Codes under the Autism provider resource materials heading.