CPT® Code 0374T | Case2Code

Code deleted, see 0373T

Official Description

each additional 30 minutes of technicians' time face-to-face with patient (List separately in addition to code for primary procedure)

Common Language Description

The CPT® Code 0374T refers to the billing for each additional 30 minutes of face-to-face time that technicians spend with a patient during exposure adaptive behavior treatment. This treatment is specifically designed for individuals exhibiting severe maladaptive behaviors, which may include actions such as physical violence towards themselves or others, defiance against rules or authority, substance abuse issues, or developmentally inappropriate sexual behaviors. The procedure is conducted by two or more technicians under the supervision of a physician or a qualified healthcare professional, such as a behavioral analyst or licensed psychologist. Exposure therapy, a key component of this treatment, is a cognitive-behavioral technique aimed at gradually introducing patients to anxiety-provoking situations or triggers in a controlled and safe environment. The primary objective is to help patients learn to manage their responses to these triggers effectively. During the therapy sessions, the technicians implement the treatment plan, make necessary protocol modifications, document the interactions, and provide relevant data to the supervising healthcare professional, who then interprets this information and prepares a comprehensive report. It is important to note that while code 0373T is used to bill for the first 60 minutes of technician time, code 0374T is specifically designated for each additional 30 minutes of face-to-face interaction with the patient.

1. Indications

The indications for utilizing CPT® Code 0374T include the treatment of patients exhibiting severe maladaptive behaviors. These behaviors may manifest in various forms, including:

Physical Violence directed at self or others, which poses a significant risk to the individual or those around them.
Power Seeking Behaviors that involve rebellion against established rules or authority figures, indicating a need for intervention.
Substance Abuse issues that require behavioral modification and support to address underlying triggers.
Developmentally Inappropriate Sexual Behaviors that necessitate careful management and therapeutic intervention.

2. Procedure

The procedure for which CPT® Code 0374T is billed involves several key steps that are critical to the effective implementation of exposure adaptive behavior treatment. These steps include:

Initial Assessment where the technicians, under the supervision of a qualified healthcare professional, evaluate the patient's specific maladaptive behaviors and develop a tailored treatment plan that addresses these issues.
Implementation of Treatment Plan which involves two or more technicians engaging the patient in exposure therapy sessions. During these sessions, the technicians introduce the patient to identified triggers in a controlled environment, allowing the patient to confront and manage their responses to these stimuli.
Documentation of Sessions where technicians meticulously record the details of each session, including the patient's reactions, progress, and any modifications made to the treatment protocol. This documentation is essential for ongoing assessment and adjustment of the treatment plan.
Data Submission to the supervising physician or qualified healthcare professional, who reviews the documented sessions and interprets the data to evaluate the effectiveness of the treatment. This step is crucial for ensuring that the therapy is meeting the patient's needs and for making any necessary adjustments to the approach.

3. Post-Procedure

Post-procedure care following the application of CPT® Code 0374T involves continued monitoring of the patient's progress and the effectiveness of the exposure adaptive behavior treatment. Technicians and the supervising healthcare professional will review the documented data to assess improvements in the patient's behavior and make any necessary adjustments to the treatment plan. Ongoing support may include additional therapy sessions, follow-up assessments, and collaboration with other healthcare providers to ensure comprehensive care. The goal is to reinforce positive behavior changes and provide the patient with tools to manage their maladaptive behaviors effectively in various situations.

Short Descr	EXPOSE BEHAV TREATMENT ADDL
Medium Descr	EXPOSURE BEHAVIOR TREATMENT ADDL 30 MIN
Long Descr	each additional 30 minutes of technicians' time face-to-face with patient (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.