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CPT 97157

CPT Code 97157: Multiple family adaptive behavior treatment

Duration
60 min
Typical Fee
$60-$120
Type
Outpatient therapy
Note: ABA — multiple families.

When to Use CPT 97157

Use CPT code 97157 when billing for multiple family adaptive behavior treatment. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 97157 to a Superbill

When generating a superbill with CPT 97157, 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 97157:

Documentation Requirements

Document the number of families present, training topics, and per-family skill acquisition. Justify the multi-family format for each patient goals.

Common Denial Reasons

  • Fewer than two families present
  • Per-family documentation missing
  • Training content not individualized to each patient needs

Reimbursement Expectations

OON reimbursement typically 35-55% of UCR. Expect $21-$66 per family per hour.

Related Guides

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