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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 0367T refers to the billing for each additional 30 minutes of technician time involved in the adaptive behavior treatment protocol. 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 a 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 address targeted problems and goals for behavioral treatment, particularly in a group setting involving two or more patients. During the therapy sessions, the technician is responsible for documenting the treatment process and subsequently reporting the findings back to the supervising physician or qualified professional. This professional interprets the documented information and prepares a comprehensive report based on the session outcomes. It is important to note that CPT® Code 0366T is utilized by the physician or qualified healthcare provider to bill for the initial 30 minutes of face-to-face technician time with a group of two or more patients, while CPT® Code 0367T is specifically designated for billing each additional 30 minutes of technician time beyond the initial session.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The adaptive behavior treatment protocol is indicated for patients exhibiting maladaptive or destructive behaviors that require intervention. This therapy is particularly beneficial for individuals with impaired social or communication skills, where the goal is to improve their adaptive behaviors. The procedure is designed to address specific behavioral issues and goals as determined by a physician or qualified healthcare professional, making it suitable for group settings involving two or more patients.

  • Maladaptive Behaviors The therapy targets behaviors that are harmful or counterproductive, aiming to replace them with more appropriate responses.
  • Deficient Adaptive Behaviors It is indicated for patients who struggle with social or communication skills, helping them to develop more effective adaptive behaviors.
  • Group Therapy Settings The procedure is designed for implementation in group settings, allowing for the treatment of two or more patients simultaneously.

2. Procedure

The procedure for adaptive behavior treatment involves several key steps that ensure effective implementation and documentation of the therapy sessions. Each step is crucial for achieving the desired outcomes for the patients involved.

  • Step 1: Preparation Prior to the therapy session, the technician reviews the treatment protocol designed by the physician or qualified professional. This preparation includes understanding the specific behavioral goals and issues that will be addressed during the session.
  • Step 2: Conducting the Session During the session, the technician engages with the group of two or more patients, implementing the adaptive behavior treatment protocol. The technician utilizes various techniques to interrupt maladaptive behaviors and introduce more appropriate responses, ensuring that each patient is actively involved in the process.
  • Step 3: Documentation After the session, the technician meticulously documents the details of the treatment session, including the behaviors observed, techniques used, and patient responses. This documentation is essential for tracking progress and providing feedback to the supervising physician.
  • Step 4: Reporting The technician reports the findings from the session back to the physician or qualified supervisor. This report includes a summary of the session, highlighting any significant changes in patient behavior and the effectiveness of the techniques employed.
  • Step 5: Review and Adjustment The physician or qualified professional reviews the documentation and report, interpreting the information to assess the progress of each patient. Based on this review, adjustments to the treatment protocol may be made to better target the specific needs of the patients.

3. Post-Procedure

Post-procedure care involves the ongoing assessment of each patient's progress following the adaptive behavior treatment sessions. The technician and supervising physician will continue to monitor the patients' behaviors and adaptive skills over time. Regular follow-up sessions may be scheduled to ensure that the treatment goals are being met and to make any necessary adjustments to the therapy protocol. Additionally, the technician may provide feedback to the patients and their families regarding progress and strategies to reinforce positive behaviors outside of the therapy sessions.

Short Descr GROUP BEHAV TREATMENT ADDL
Medium Descr GROUP BEHAVIOR TREATMENT 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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