97152 — Behavior Identification Supporting Assessment
A supporting behavioral assessment that follows or supplements the comprehensive 97151 assessment. Often used for protocol-based assessments (VB-MAPP, ABLLS, AFLS), preference assessments, or reassessments of specific skill areas. Can be performed by a BCBA or a behavior technician under BCBA direction.
Time Requirements
Billed per 15-minute unit. Typically shorter than 97151 — common range is 1-4 hours (4-16 units) per assessment occasion.
Modifiers
| Code | Description |
|---|---|
| 97 | Habilitative services. |
When to Use
- Protocol-based assessments (VB-MAPP, ABLLS-R, AFLS, PEAK)
- Preference assessments and reinforcer identification
- Periodic reassessments of specific skill domains
- Supplementary data collection directed by the BCBA
When Not to Use
- Comprehensive initial assessments — use 97151
- Direct ABA therapy — use 97153 or 97154
- When the technician is not under active BCBA direction
Common Denial Reasons
- Billed without a corresponding 97151 on file (no foundational assessment)
- Exceeds authorized assessment units
- Documentation does not describe the assessment protocol used
- Technician performing assessment without BCBA oversight documentation
Payer Notes
Prior authorization is typically required as part of the overall ABA treatment plan. Some payers combine 97151 and 97152 authorization into a single assessment bucket. Document the specific protocol or tool used.
Frequently Asked Questions
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