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Important Information on ABA Authorizations and Payment

Posted October 30, 2017

Blue Cross and Blue Shield of Illinois (BCBSIL) aligned its Applied Behavior Analysis (ABA) authorizations and payments of Current Procedural Terminology (CPT®) codes with the Centers for Medicare & Medicaid Services (CMS) recommended edits on Oct. 1, 2017. For more information, search for “Practitioner Services MUE Table-Effective 10/1/17” on cms.gov. The CPT codes are listed with the units per day that may be billed. 

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