CPT® Code 0366T | Case2Code

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

Official Description

Group adaptive behavior treatment by protocol, administered by technician, face-to-face with two or more patients; first 30 minutes of technician time

Common Language Description

The adaptive behavior treatment protocol, as defined by CPT® Code 0366T, involves a structured approach to addressing maladaptive or destructive behaviors in patients. This treatment is administered 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 this therapy is to replace inappropriate behaviors with more suitable techniques and to enhance deficient adaptive behaviors that may stem from challenges in social interactions or communication skills. The treatment is conducted in a group setting, where two or more patients participate simultaneously. Prior to the session, a behavioral treatment protocol is meticulously designed by the supervising physician or qualified professional, targeting specific behavioral issues and establishing clear goals for the therapy. During the session, the technician is responsible for documenting the treatment process and outcomes, which are then communicated back to the supervising physician or qualified professional. This professional interprets the documented information and prepares a comprehensive report based on the session's findings. CPT® Code 0366T specifically applies to the first 30 minutes of face-to-face interaction between the technician and the group of patients, while CPT® Code 0367T is utilized for billing each additional 30 minutes of technician time spent with the group.

1. Indications

The adaptive behavior treatment protocol is indicated for patients exhibiting maladaptive or destructive behaviors that require intervention. This treatment is particularly beneficial for individuals who demonstrate deficiencies in adaptive behaviors, which may be due to impaired social or communication skills. The procedure is designed to address specific behavioral problems and goals as identified by a physician or qualified healthcare professional.

Maladaptive Behaviors The treatment is aimed at interrupting behaviors that are harmful or counterproductive to the patient's well-being.
Deficient Adaptive Behaviors The protocol targets individuals who struggle with social interactions or communication, helping them develop more appropriate skills.
Group Therapy Setting The procedure is indicated for use in a group environment, allowing for the simultaneous treatment of two or more patients.

2. Procedure

The procedure for administering the adaptive behavior treatment protocol involves several key steps that ensure effective delivery of therapy to the patients. Each step is crucial for achieving the desired therapeutic outcomes.

Step 1: Preparation Prior to the session, the technician reviews the behavioral treatment protocol that has been designed by the supervising physician or qualified professional. This protocol outlines the specific behavioral issues to be addressed and the goals of the therapy.
Step 2: Group Interaction The technician conducts the therapy session in a face-to-face setting with two or more patients. During this time, the technician implements the strategies outlined in the treatment protocol, facilitating interactions among the patients to encourage positive behavioral changes.
Step 3: Documentation Throughout the session, the technician meticulously documents the activities, patient responses, and any notable changes in behavior. This documentation is essential for tracking progress and providing feedback to the supervising physician.
Step 4: Reporting After the session, the technician compiles the documented information and reports back to the supervising physician or qualified professional. This report includes observations and insights gained during the session, which are critical for evaluating the effectiveness of the treatment.

3. Post-Procedure

Post-procedure care involves the technician's follow-up with the supervising physician to discuss the documented findings and any necessary adjustments to the treatment protocol. The physician reviews the report and may recommend further sessions or modifications to the approach based on the patients' progress. Continuous monitoring and evaluation are essential to ensure that the therapy remains effective and aligned with the patients' evolving needs. Additionally, the technician may provide feedback to the patients and their families regarding the progress made during the session and any strategies to reinforce positive behaviors outside of the therapy setting.

Short Descr	GROUP BEHAVIOR TREATMENT
Medium Descr	GROUP BEHAVIOR TREATMENT FIRST 30 MIN
Long Descr	Group adaptive behavior treatment by protocol, administered by technician, face-to-face with two or more patients; 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.