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An adaptive behavior treatment protocol is a structured intervention designed to address and modify maladaptive or destructive behaviors exhibited by individuals, particularly those with developmental disorders or behavioral challenges. This treatment is administered by a technician who has received specialized training from a physician or other qualified healthcare professional, such as a behavioral analyst or licensed psychologist. The primary objective of adaptive behavior therapy is to replace inappropriate behaviors with more suitable alternatives and to enhance deficient adaptive behaviors that may stem from impaired social or communication skills. The treatment protocol is meticulously crafted by the supervising healthcare professional to target specific behavioral issues and set clear goals for improvement. During the therapy session, the technician engages with the patient in a face-to-face setting, documenting the progress and details of the treatment session. This documentation is crucial as it is subsequently reviewed by the supervising physician or qualified professional, who interprets the findings and prepares a comprehensive report on the patient's progress. The CPT® Code 0364T is specifically utilized to bill for the first 30 minutes of this face-to-face technician time with a single patient, while code 0365T is designated for each additional 30 minutes of service provided.
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The adaptive behavior treatment protocol is indicated for individuals exhibiting maladaptive behaviors or those requiring improvement in adaptive skills due to various conditions. The following are specific indications for this procedure:
The procedure for administering adaptive behavior treatment by protocol involves several key steps, each designed to ensure effective intervention and documentation of the patient's progress. The following outlines the procedural steps:
Post-procedure care involves ongoing monitoring and evaluation of the patient's progress following the adaptive behavior treatment sessions. The technician and supervising professional will continue to assess the effectiveness of the treatment protocol and make necessary adjustments based on the patient's response. Regular follow-up sessions may be scheduled to ensure continuity of care and to reinforce the skills learned during therapy. Additionally, the technician may provide feedback to the patient and their family regarding progress and strategies to support behavioral improvements outside of the therapy sessions.
Short Descr | ADAPTIVE BEHAVIOR TREATMENT | Medium Descr | ADAPTIVE BEHAVIOR TX BY PROTOCOL FIRST 30 MIN | Long Descr | Adaptive behavior treatment by protocol, administered by technician, face-to-face with one patient; first 30 minutes of technician time | 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 | Procedure or Service, Not Discounted when Multiple | Berenson-Eggers TOS (BETOS) | M5B - Specialist - psychiatry | MUE | Not applicable/unspecified. |