CPT Code 97152: Behavior identification supporting assessment

When to Use CPT 97152

Use CPT code 97152 when billing for behavior identification supporting assessment. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 97152 to a Superbill

When generating a superbill with CPT 97152, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 97152:

Documentation Requirements

Document who administered the supporting assessment (may be a technician under BCBA supervision) and how findings supplement the primary assessment.

Common Denial Reasons

• ✗ Billed without a corresponding 97151 assessment
• ✗ Supervision by BCBA not documented
• ✗ Excessive units beyond typical assessment requirements

Reimbursement Expectations

OON reimbursement typically 40-60% of UCR. Expect $40-$120 per hour.