Prior Auth Required

97155 - face-to-face with one patient, each 15 minutes

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceface-to-face with one patient, each 15 minutes
Procedure / Service Description

Adaptive behavior treatment with protocol modification, administered by physician or other - Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, 97155 face-to-face with one patient, each 15 minutes Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.