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Official Description

Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components:

  • administration by the physician or other qualified health care professional who is on site;
  • with the assistance of two or more technicians;
  • for a patient who exhibits destructive behavior;
  • completion in an environment that is customized to the patient's behavior.

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Adaptive behavior treatment with protocol modification is a specialized therapeutic approach designed for patients exhibiting destructive behaviors. This treatment is characterized by the involvement of two or more technicians who work directly with the patient under the supervision of a physician or other qualified healthcare professional present on-site. The primary focus of this therapy is to address severely maladaptive behaviors, which may include physical violence towards oneself or others, defiance against authority, substance abuse, or inappropriate sexual behaviors for the patient's developmental stage. The therapy employs cognitive-behavioral techniques that gradually expose the patient to specific triggers that elicit these problematic behaviors. By doing so, the treatment aims to create a controlled and protective environment where the patient can learn to respond appropriately to these triggers. The technicians are responsible for implementing the treatment plan, making necessary protocol modifications, documenting the sessions, and collecting data that will be analyzed by the supervising healthcare professional. This professional then interprets the data and prepares a comprehensive report on the patient's progress. The CPT® Code 0373T is utilized to bill for each 15-minute increment of face-to-face time that the technicians spend with the patient during this therapeutic process.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The adaptive behavior treatment with protocol modification is indicated for patients who exhibit destructive behaviors. These behaviors may manifest in various forms, including but not limited to:

  • Physical Violence: Actions that may harm the patient or others, indicating a need for intervention.
  • Defiance Against Authority: Behaviors that involve rebellion against rules or figures of authority, which can disrupt social and familial relationships.
  • Substance Abuse: The misuse of drugs or alcohol that can lead to significant health and social issues.
  • Developmentally Inappropriate Sexual Behaviors: Actions that are not suitable for the patient's age, requiring specialized therapeutic attention.

2. Procedure

The procedure for adaptive behavior treatment with protocol modification involves several key steps that ensure effective intervention for the patient. Each step is crucial for the successful implementation of the treatment plan.

  • Step 1: Administration by Qualified Professional The treatment begins with the administration by a physician or other qualified healthcare professional who is present on-site. This ensures that the treatment is conducted under professional supervision, allowing for immediate adjustments and oversight as needed.
  • Step 2: Involvement of Technicians Two or more technicians are engaged to assist in the treatment process. Their role is vital as they implement the treatment plan and work directly with the patient, providing the necessary support and guidance throughout the session.
  • Step 3: Customized Environment The treatment is conducted in an environment that is specifically tailored to the patient's behavior. This customized setting is designed to minimize distractions and create a safe space for the patient to confront their triggers.
  • Step 4: Implementation of Treatment Protocols The technicians carry out the treatment protocols, which may include various cognitive-behavioral techniques aimed at addressing the patient's maladaptive behaviors. They document the session meticulously, noting the patient's responses and any modifications made to the protocol.
  • Step 5: Data Collection and Reporting After the session, the technicians compile data regarding the patient's behavior and progress. This information is then provided to the supervising physician or qualified healthcare professional, who interprets the data and prepares a detailed report on the patient's treatment outcomes.

3. Post-Procedure

Post-procedure care involves ongoing monitoring and evaluation of the patient's progress following the adaptive behavior treatment sessions. The supervising healthcare professional reviews the documented data and reports to assess the effectiveness of the treatment and make any necessary adjustments to the protocol. Continuous support from the technicians may be required to reinforce positive behavior changes and address any emerging issues. The overall goal is to ensure that the patient develops appropriate responses to their triggers and reduces the occurrence of destructive behaviors over time.

Short Descr ADAPT BHV TX EA 15 MIN
Medium Descr ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME
Long Descr Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components: administration by the physician or other qualified health care professional who is on site; with the assistance of two or more technicians; for a patient who exhibits destructive behavior; completion in an environment that is customized to the patient's behavior.
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 Codes That May Be Paid Through a Composite APC
Berenson-Eggers TOS (BETOS) M5B - Specialist - psychiatry
MUE 24
Date
Action
Notes
2019-01-01 Changed Description Changed
2015-01-01 Added Added
2014-07-01 Added Added
2014-07-01 Changed Revise medium descriptor for code 0373T to reflect "60" min
Code
Description
Code
Description
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