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

Official Description

each additional 30 minutes of technician time (List separately in addition to code for primary procedure)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0365T refers to the billing for each additional 30 minutes of technician time involved in adaptive behavior treatment protocols. This procedure is conducted by a technician who has received training from a physician or another qualified healthcare professional, such as a behavioral analyst or licensed psychologist. The primary objective of adaptive behavior therapy is to address and modify maladaptive or destructive behaviors, replacing them with more appropriate techniques. Additionally, it aims to enhance deficient adaptive behaviors that may stem from impaired social or communication skills. The treatment protocol is specifically designed by the physician or qualified professional to target individual problems and goals related to behavioral treatment. During the session, the technician is responsible for documenting the treatment provided and subsequently reporting the outcomes back to the supervising physician or qualified professional. This professional then interprets the documented information and prepares a comprehensive report. It is important to note that CPT® Code 0364T is utilized for the initial 30 minutes of face-to-face technician time with a single patient, while CPT® Code 0365T is designated for each subsequent 30-minute increment of technician time.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The indications for utilizing CPT® Code 0365T include the need for ongoing adaptive behavior treatment for individuals exhibiting maladaptive or destructive behaviors. This procedure is particularly relevant for patients who require structured interventions to improve their social or communication skills, which may be deficient due to various underlying conditions. The technician's role is crucial in implementing the treatment protocol designed by a qualified professional, ensuring that the patient receives the necessary support to achieve specific behavioral goals.

  • Maladaptive Behaviors The procedure is indicated for patients displaying behaviors that are harmful or counterproductive, necessitating intervention to promote more appropriate responses.
  • Deficient Adaptive Behaviors It is also indicated for individuals who struggle with social or communication skills, requiring targeted therapy to enhance their adaptive capabilities.

2. Procedure

The procedure associated with CPT® Code 0365T involves several key steps that ensure effective implementation of the adaptive behavior treatment protocol. Each step is critical to the overall success of the therapy.

  • Step 1: Technician Preparation The technician prepares for the session by reviewing the treatment protocol established by the supervising physician or qualified professional. This preparation includes understanding the specific behavioral goals and the techniques to be employed during the session.
  • Step 2: Implementation of Treatment During the session, the technician engages with the patient, implementing the adaptive behavior strategies as outlined in the treatment protocol. This may involve direct interaction, modeling appropriate behaviors, and guiding the patient through exercises designed to replace maladaptive behaviors.
  • Step 3: Documentation After the session, the technician meticulously documents the activities conducted, the patient's responses, and any notable changes in behavior. This documentation is essential for tracking progress and providing feedback to the supervising professional.
  • Step 4: Reporting The technician submits the documented information to the supervising physician or qualified professional, who reviews the data, interprets the outcomes, and prepares a report that may inform future treatment decisions.

3. Post-Procedure

Post-procedure care following the implementation of CPT® Code 0365T involves the ongoing assessment of the patient's progress based on the documented sessions. The supervising physician or qualified professional will evaluate the effectiveness of the treatment protocol and make necessary adjustments to the therapy as needed. Continuous monitoring is essential to ensure that the patient is benefiting from the adaptive behavior therapy and to address any emerging issues promptly. Additionally, follow-up sessions may be scheduled to maintain the momentum of progress and reinforce the skills learned during the therapy.

Short Descr ADAPTIVE BEHAVIOR TX ADDL
Medium Descr ADAPTIVE BEHAVIOR TX BY PROTOCOL ADDL 30 MIN
Long Descr each additional 30 minutes of technician time (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
Code
Description
Code
Description
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