CO · guidance
CO HCPF Pediatric Behavioral Therapies Billing Manual — Eligible Providers
EligibleProviders
OrganizationswithaTaxIDmustenrollasProviderType83-BehavioralTherapyClinic.
EligibleindividualstoaffiliatewithProviderType83are:
Psychologistwithadoctoratedegree-ProviderType37
LicensedBehavioralHealthClinician-ProviderType38
BehavioralTherapist-ProviderType84
ProviderTypes37,38and84mustbeaffiliatedwithProviderType83.ProviderswhoarecurrentlyenrolledasProviderType25andprovidePBTservicesmustdisenrollandstartanewapplicationfortype83.
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PBTservicesmustbebilledusingthe837Professional(837P)transactionorCMS1500form,whichrequiresusingrenderingandbillingNationalProviderIDs(NPIs).
Eachagency'sspecificbillingnumberwillbeusedtoreimbursetheprovider.
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AllowableProcedureCoding
97153
97154
97155
97158
97151
97151TJ
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Provenance
- Source
- hcpf.colorado.gov
- Retrieved
- 2026-07-26
- Edition
- 2026-07-26
- Content hash
64a714c5a1e4a732e6dfd719cff92b412d5b8238732e3995a0be5bd8b8059747
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