97153 Direct treatment by protocol Hours / client / week Rendered by Behavior technician (RBT) Assistant behavior analyst BCBA BCBA-D The RBT wage applies only when a technician renders 97153. TRICARE caps this code at 40 hours (160 units) per client per week.
97155 Protocol modification Hours / client / week Rendered by BCBA BCBA-D Assistant behavior analyst In any month with direct treatment, the authorized supervisor personally completes at least one 97155 session.
97156 Family guidance Hours / client / week One allowed amount covers BCBA-D, BCBA, and assistant. The ACD floor is six caregiver sessions in each six-month authorization, about 0.25 hour a week if each session is one hour.
97151 Assessment and treatment plan Hours / client / week Usually a one-time block of up to 8 hours, not a standing weekly service. A fraction of an hour per week spreads that block across the year. One allowed amount covers BCBA-D, BCBA, and assistant.
97157 Multiple-family group guidance Hours / client / week Billed per participant. Labor counts one clinician hour for the whole group.
97158 Group treatment with protocol modification Hours / client / week Billed per participant, same allowed amount as 97157. Labor counts one clinician hour for the whole group.