MedicaidBilling CodesMedium impact
Concurrent Billing Codes for Applied Behavioral Analysis
Kentucky Medicaid·KY · Psychiatry·Coding
Effective date
Dec 2, 2025
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid now allows concurrent billing of CPT codes 97153 and 97155 for Applied Behavioral Analysis (ABA) services when a qualified health professional is directing a technician who is implementing a modified treatment protocol with the patient present. This change enables providers to bill both codes simultaneously under specific circumstances.
Action Required
Immediately: Billing team must update billing system to allow concurrent billing of CPT 97153 and 97155 for ABA services when both services are provided simultaneously with patient present and qualified health professional directing technician implementing modified protocol. Update encounter forms and staff training to reflect new concurrent billing allowance. Ensure documentation supports medical necessity for both services in patient's plan of care.