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doi: 10.1016/j.ijid.2025.107990

Treatments for biomedical abnormalities associated with autism spectrum disorder

Billing 90837 for sessions documented at 50 minutes is upcoding under CMS guidelines and exposes the practice to RAC audit recoupment across a six-year lookback period at the difference between 90837 and 90834, which is approximately $22 to $27 per session at 2026 Medicare rates