MedicaidBilling CodesMedium impact
[Indiana] Concurrent Billing of 97153
CareSource·IN · Psychiatry, Pediatrics, Family Medicine·Claims & Billing
We identified it
May 9, 2026
Summary
CareSource has issued a new policy regarding concurrent billing of CPT code 97153 (Adaptive Behavior Treatment by Protocol). This policy likely addresses when and how this behavioral health code can be billed alongside other services.
Action Required
Immediately: Billing team must review the full CareSource policy document at the provided URL to understand specific concurrent billing rules for CPT 97153. Update billing system edits and staff training for Indiana CareSource members receiving behavioral health services. Verify compliance with new concurrent billing restrictions to prevent claim denials.