CPT® Code 0372T | Case2Code

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

Official Description

Adaptive behavior treatment social skills group, administered by physician or other qualified health care professional face-to-face with multiple patients

Common Language Description

An adaptive behavior treatment social skills group is a therapeutic intervention designed to assist individuals, particularly those with cognitive or mental health disorders, in developing and enhancing their social skills. This procedure is conducted face-to-face by a physician or another qualified healthcare professional, who leads a group of multiple patients. The primary objective of this treatment is to address and modify maladaptive behaviors—those that are counterproductive or harmful—by introducing more appropriate techniques and behaviors that can replace them. Additionally, it aims to improve deficient adaptive behaviors that arise from impaired skills, which are often observed in individuals facing challenges in social interactions.

Social skills can be particularly challenging for patients with cognitive or mental health disorders, as they may struggle to comprehend the nuances of social interactions and the behaviors that lead to positive social outcomes. Within the context of a skills group, the specific deficits and social needs of each individual patient are identified and targeted. The healthcare professionals leading the group clearly explain and model the expected social behaviors and interactions, often using typical peers as examples. This structured environment allows patients to practice their social skills in a supportive setting, where appropriate behaviors are reinforced, refined, and adjusted based on real-time feedback. The procedure is classified under CPT® Code 0372T, which is considered an untimed procedure, indicating that it is reported by the physician or qualified healthcare provider for the administration or facilitation of the social skills group without a specific time constraint.

1. Indications

The adaptive behavior treatment social skills group is indicated for patients who exhibit difficulties in social interactions due to cognitive or mental health disorders. The following conditions may warrant the use of this procedure:

Cognitive Disorders Patients with cognitive impairments may struggle to understand social cues and appropriate behaviors, necessitating targeted social skills training.
Mental Health Disorders Individuals with mental health conditions may have challenges in social functioning, which can be addressed through structured group therapy.
Deficient Adaptive Behaviors Patients who demonstrate inadequate adaptive behaviors due to impaired skills can benefit from this intervention to improve their social competencies.

2. Procedure

The procedure for conducting an adaptive behavior treatment social skills group involves several key steps that ensure effective delivery of therapy to multiple patients:

Step 1: Group Formation The healthcare professional organizes a group of patients who share similar social skill deficits or challenges. This grouping allows for peer interaction and support, which is essential for the learning process.
Step 2: Assessment of Individual Needs Each patient's specific social needs and deficits are assessed prior to the group session. This assessment helps the facilitator tailor the session to address the unique challenges faced by each participant.
Step 3: Explanation of Social Expectations The facilitator clearly explains the social expectations and rules of interaction to the group. This step is crucial for setting the groundwork for effective participation and understanding among patients.
Step 4: Modeling Appropriate Behaviors The healthcare professional, along with typical peers if available, models appropriate social behaviors and interactions. This demonstration provides patients with concrete examples of how to engage in social situations.
Step 5: Practice and Reinforcement Patients are given the opportunity to practice the modeled social skills within the group setting. The facilitator provides real-time feedback, reinforcing appropriate behaviors and making adjustments as necessary to enhance learning.

3. Post-Procedure

After the completion of the adaptive behavior treatment social skills group, patients may be encouraged to continue practicing the skills learned during the session in their daily lives. Follow-up sessions may be scheduled to assess progress and address any ongoing challenges. The healthcare professional may also provide additional resources or strategies for patients to utilize outside of the group setting, ensuring that the skills acquired are integrated into their everyday interactions. Continuous support and reinforcement are essential for the long-term success of the therapy.

Short Descr	SOCIAL SKILLS TRAINING GROUP
Medium Descr	BEHAVIOR TREATMENT SOCIAL SKILLS TRAINING GROUP
Long Descr	Adaptive behavior treatment social skills group, administered by physician or other qualified health care professional face-to-face with multiple patients
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.