RBT Training + Supervision Billing — 2026 Documentation
Registered Behavior Technicians (RBTs) require 40-hour training + ongoing supervision. Billing this training + supervision correctly maintains BACB compliance and payer reimbursement.
RBT Training + Supervision Codes 2026
- 97151 — Assessment (must be BCBA)
- 97153 — Treatment delivery (RBT)
- 97155 — Protocol modification supervision (BCBA supervising RBT)
- Non-billable: 40-hour training + weekly supervision (5% minimum)
Common Payer Denials
- RBT delivering 97155 (not allowed — BCBA only)
- Supervision ratio not maintained (5% weekly minimum)
- RBT supervision documentation missing
- Simultaneous 97153 + 97155 same-day billing
Recovery Framework
Weekly supervision audit → BCBA:RBT ratio compliance check → time-in-service documentation gaps.
97155 supervision deep-dive · BCBA credentialing · Free audit
– KD, Revenant Care