CPT code 97152: Behavior assessment, technician support2026 Medicare rate & RVUs in Arkansas

CMS doesn’t publish a rate for 97152 in Arkansas.

Check a contract rate as a % of Medicare · 97152 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 97152 covers

97152 represents face-to-face behavioral assessment support provided by a technician under the direction of a physician or other qualified health care professional. It is part of the behavioral identification assessment process, rather than adaptive behavior treatment. In behavioral health and applied behavior analysis settings, the technician works directly with the patient and supplies information used in the professional’s assessment. The professional assessment service is represented separately by 97151.

Medicare assigns this code physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. One unit represents 15 minutes of the technician’s face-to-face time with the patient. Count the technician’s qualifying time, not the professional’s assessment time.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Arkansas compares for 97152

Every other payment area

97152 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 97152 in every payment locality

How the 97152 rate is calculated

Each of 97152’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 97152

97152 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 97152

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 97152 has changed in Arkansas

Price 97152 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

• Acorn
• Adona
• Alexander
• Alicia
• Alix
• Alleene
• Allport
• Alma

Browse all communities in Arkansas

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates