Effective January 1, 2019, the American Medical Association will be replacing the temporary CPT-4 codes used by ABA (applied behavior analyst) treatment services with new permanent CPT-4 codes.  


As with all annual CPT-4 coding changes, we will make the necessary updates to all claims and operational systems required for these coding changes. Additional information will be available to all participating ABA providers advising them of any changes to reimbursement or billing as a result of the new CPT codes, once the final and official AMA documentation along with any CMS updates has been provided to health plans and providers.


This conversion table provides guidance on the new codes and their descriptions.


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January 2019 Anthem Connecticut Provider Newsletter