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

Official Description

Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Adaptive behavior treatment guidance is a specialized form of therapy aimed at assisting family members, guardians, or caregivers who are responsible for the care of a patient. This guidance is provided by a physician or another qualified healthcare professional, such as a behavioral analyst or licensed psychologist, and is conducted without the patient being present. The primary objective of this treatment is to address and modify maladaptive behaviors exhibited by the patient, while also enhancing any deficient adaptive behaviors that may stem from impaired skills. During the session, the healthcare professional engages with the family or caregivers to identify specific problem behaviors or deficits that the patient may be experiencing. This collaborative approach allows the professional to teach caregivers effective treatment protocols designed to replace maladaptive behaviors with more appropriate techniques. The strategies discussed during these sessions are intended to be implemented by the caregivers, ensuring that the patient receives consistent support in their behavioral development. Both CPT® Code 0370T and its counterpart, CPT® Code 0371T, represent untimed therapy meetings that are reported when treatment guidance is provided to family members or caregivers, emphasizing the importance of their role in the therapeutic process.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The indications for family adaptive behavior treatment guidance are centered around the need for support and intervention for patients exhibiting maladaptive behaviors or deficiencies in adaptive skills. This guidance is particularly relevant in the following scenarios:

  • Behavioral Issues Patients displaying maladaptive behaviors that require intervention and modification.
  • Skill Deficiencies Individuals who have impaired skills leading to deficient adaptive behaviors that need to be addressed.
  • Caregiver Support Family members, guardians, or caregivers seeking strategies to effectively manage and support the patient’s behavioral needs.

2. Procedure

The procedure for family adaptive behavior treatment guidance involves several key steps that ensure effective communication and strategy development between the healthcare professional and the caregivers. Each step is designed to facilitate a comprehensive understanding of the patient's needs and the implementation of appropriate treatment protocols.

  • Step 1: Initial Assessment The healthcare professional begins by conducting an initial assessment of the patient’s behaviors and skills. This involves gathering information from the caregivers about the specific maladaptive behaviors exhibited by the patient and any observed deficiencies in adaptive skills.
  • Step 2: Identification of Problem Behaviors During the session, the professional works collaboratively with the caregivers to identify and define the specific problem behaviors or deficits that need to be addressed. This step is crucial for tailoring the treatment strategies to the individual needs of the patient.
  • Step 3: Development of Treatment Protocols After identifying the issues, the healthcare professional introduces treatment protocols designed to address the maladaptive behaviors. These protocols may include techniques and strategies that caregivers can implement in their daily interactions with the patient.
  • Step 4: Training Caregivers The professional provides training to the caregivers on how to effectively use the treatment strategies discussed. This training ensures that caregivers feel confident in their ability to support the patient and implement the recommended techniques.
  • Step 5: Follow-Up and Support Although the session is conducted without the patient present, the healthcare professional may schedule follow-up meetings to assess the effectiveness of the strategies implemented by the caregivers and make any necessary adjustments to the treatment plan.

3. Post-Procedure

Post-procedure care involves ongoing support and communication between the healthcare professional and the caregivers. It is essential for caregivers to consistently apply the strategies learned during the guidance sessions to ensure the patient benefits from the treatment. Regular follow-up meetings may be scheduled to monitor progress, address any challenges faced by the caregivers, and refine the treatment protocols as needed. This collaborative approach helps to reinforce the skills and techniques introduced during the guidance sessions, ultimately supporting the patient’s behavioral development and adaptive functioning.

Short Descr FAM BEHAV TREATMENT GUIDANCE
Medium Descr FAMILY BEHAVIOR TREATMENT GUIDANCE
Long Descr Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)
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.
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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