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Code deleted, see 97153, 97154, 97155, 97156, 97157, 97158, 0373T

Official Description

each additional 30 minutes of technician(s) time, face-to-face with the patient (List separately in addition to code for primary procedure)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0363T refers to the billing for each additional 30 minutes of face-to-face time spent by technicians with a patient during an exposure behavioral follow-up assessment. This procedure is typically conducted in a controlled and safe environment by a qualified healthcare professional, which may include a physician, behavioral analyst, or licensed psychologist, alongside trained technicians. The primary goal of exposure therapy, a cognitive behavioral technique, is to address specific, severely destructive behaviors by gradually introducing the patient to situations or problems that are associated with their maladaptive behaviors. This process is designed to elicit anxiety or behavioral responses, allowing the healthcare team to assist the patient in navigating these experiences. The assessment focuses on understanding the events, cues, responses, and consequences related to the maladaptive behavior, providing a comprehensive evaluation of the patient's condition. It is important to note that CPT® Code 0362T is utilized for the initial 30 minutes of face-to-face interaction with the patient, while CPT® Code 0363T is specifically designated for each subsequent 30-minute increment of technician time. The exposure behavioral follow-up assessment also encompasses the professional interpretation of the findings, preparation of a detailed report, and discussions of the results and recommendations with the patient's caregivers, ensuring a thorough approach to the patient's treatment and support.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The exposure behavioral follow-up assessment is indicated for patients exhibiting specific, severely destructive behaviors that require structured intervention. This procedure is particularly relevant for individuals who may benefit from cognitive behavioral techniques aimed at addressing maladaptive behaviors through gradual exposure to anxiety-provoking situations. The assessment is designed to evaluate the patient's responses to these situations, providing insights into the underlying cues and consequences associated with their behaviors.

  • Severe Destructive Behaviors Patients with specific behaviors that are harmful or disruptive to themselves or others.
  • Cognitive Behavioral Therapy Needs Individuals requiring structured cognitive behavioral interventions to manage anxiety or behavioral issues.
  • Follow-Up Assessment Patients needing ongoing evaluation and support following initial exposure therapy sessions.

2. Procedure

The procedure for the exposure behavioral follow-up assessment involves several key steps that are executed by a team of qualified healthcare professionals and trained technicians. Each step is crucial for ensuring a comprehensive evaluation and effective intervention.

  • Initial Team Meeting The healthcare team convenes to discuss the patient's history, previous therapy sessions, and specific maladaptive behaviors that need to be addressed. This collaborative approach ensures that all team members are aligned on the treatment goals and strategies.
  • Patient Interaction The technicians engage with the patient in a face-to-face setting, utilizing techniques that are designed to provoke the specific behaviors or anxieties associated with the patient's condition. This interaction is carefully monitored to ensure the patient's safety and comfort throughout the process.
  • Behavioral Assessment During the exposure, the team observes and records the patient's responses to various cues and situations. This assessment is critical for understanding the triggers and consequences of the maladaptive behaviors, allowing for tailored interventions.
  • Professional Interpretation After the exposure session, the healthcare professionals analyze the collected data, interpreting the patient's responses and identifying patterns that may inform future treatment. This step is essential for developing a comprehensive understanding of the patient's needs.
  • Report Preparation A detailed report is prepared, summarizing the findings from the assessment. This report includes recommendations for ongoing treatment and strategies to support the patient in managing their behaviors effectively.
  • Discussion with Caregivers Finally, the team discusses the findings and recommendations with the patient's caregivers, ensuring that they are informed and involved in the ongoing treatment process. This collaboration is vital for reinforcing the strategies at home and supporting the patient's progress.

3. Post-Procedure

Post-procedure care following the exposure behavioral follow-up assessment involves monitoring the patient's progress and implementing the recommendations outlined in the report. It is essential for caregivers to reinforce the strategies discussed during the assessment to help the patient manage their behaviors effectively. Regular follow-up appointments may be scheduled to evaluate the patient's response to the interventions and make any necessary adjustments to the treatment plan. Additionally, ongoing support from the healthcare team is crucial to ensure the patient feels safe and supported as they navigate their behavioral challenges.

Short Descr EXPOSE BEHAV ASSESS ADDL
Medium Descr EXPOSURE BEHAV ASSESSMENT ADDL 30 MIN
Long Descr each additional 30 minutes of technician(s) time, face-to-face with the patient (List separately in addition to code for primary procedure)
Status Code Carriers Price the Code
Global Days ZZZ - Code Related to Another Service
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 Items and Services Packaged into APC Rates
Berenson-Eggers TOS (BETOS) M5B - Specialist - psychiatry
MUE Not applicable/unspecified.
Date
Action
Notes
2019-01-01 Deleted Code deleted, see 97153, 97154, 97155, 97156, 97157, 97158, 0373T
2015-01-01 Added Added
2014-07-01 Added Added
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Description
Code
Description
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