CPT® Code 0362T

Official Description

Behavior identification supporting assessment, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components:

administration by the physician or other qualified health care professional who is on site;
with the assistance of two or more technicians;
for a patient who exhibits destructive behavior;
completion in an environment that is customized to the patient's behavior.

Common Language Description

A behavior identification supporting assessment is a structured evaluation conducted in a safe environment tailored to the specific behaviors exhibited by the patient. This assessment is crucial for patients who demonstrate destructive behaviors, as it aims to identify and analyze these behaviors in a controlled setting. The procedure is administered by a physician or another qualified healthcare professional who is present on-site, ensuring that the assessment is conducted under professional supervision. The involvement of two or more trained technicians is essential, as they assist in the process, providing support and facilitating the assessment. The primary goal of this assessment is to utilize cognitive behavioral techniques to help the patient confront and understand the situations or problems associated with their maladaptive behaviors. By examining the events, cues, responses, and consequences related to the destructive behavior, the assessment aids in identifying the target behavior and the circumstances that provoke it. This comprehensive approach is instrumental in developing an effective treatment protocol tailored to the patient's needs. The CPT® code 0362T is specifically reported for each 15 minutes of face-to-face time spent by technicians with the patient during this assessment.

1. Indications

The behavior identification supporting assessment is indicated for patients who exhibit destructive behaviors. This assessment is particularly relevant for individuals whose behaviors may pose risks to themselves or others, necessitating a structured evaluation to understand the underlying issues and triggers associated with these behaviors.

Destructive Behavior The assessment is performed for patients who demonstrate specific, severely destructive behaviors that require careful examination and intervention.

2. Procedure

The procedure for a behavior identification supporting assessment involves several key steps that ensure a comprehensive evaluation of the patient's behavior.

Step 1: Preparation of the Environment The assessment begins with the preparation of a customized environment that is specifically designed to address the patient's destructive behavior. This setting is crucial as it provides a safe space for the patient to engage in the assessment process.
Step 2: Administration by Qualified Professionals The assessment is administered by a physician or other qualified healthcare professional who is present on-site. This ensures that the assessment is conducted under professional supervision, allowing for immediate intervention if necessary.
Step 3: Involvement of Technicians Two or more trained technicians assist in the assessment process. Their role is to support the patient throughout the evaluation, helping to facilitate the experience and ensuring that the patient feels safe and understood.
Step 4: Conducting the Assessment During the assessment, the team engages the patient in cognitive behavioral techniques aimed at identifying the target behavior and the circumstances that provoke it. This involves examining the events, cues, responses, and consequences associated with the destructive behavior.
Step 5: Formulating a Treatment Protocol Following the assessment, the information gathered is utilized to aid in formulating a treatment protocol tailored to the patient's specific needs. This protocol is designed to address the identified behaviors and provide strategies for managing them effectively.

3. Post-Procedure

After the behavior identification supporting assessment, it is essential to review the findings with the patient and their caregivers. This discussion should include the identified behaviors, the circumstances surrounding them, and the proposed treatment protocol. Continuous monitoring and follow-up sessions may be necessary to evaluate the effectiveness of the treatment plan and make adjustments as needed. The involvement of the healthcare team, including the physician and technicians, remains critical in supporting the patient’s progress and ensuring adherence to the treatment strategies developed during the assessment.

Short Descr	BHV ID SUPRT ASSMT EA 15 MIN
Medium Descr	BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME
Long Descr	Behavior identification supporting assessment, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components: administration by the physician or other qualified health care professional who is on site; with the assistance of two or more technicians; for a patient who exhibits destructive behavior; completion in an environment that is customized to the patient's behavior.
Status Code	Carriers Price the Code
Global Days	YYY - Carrier Determines Whether Global Concept Applies
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Codes That May Be Paid Through a Composite APC
Berenson-Eggers TOS (BETOS)	M5B - Specialist - psychiatry
MUE	16