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Official Description

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

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Adaptive behavior treatment with protocol modification is a therapeutic approach aimed at addressing and improving maladaptive or destructive behaviors exhibited by patients. This treatment is typically conducted by a physician or other qualified healthcare professionals, such as behavioral analysts or licensed psychologists. The primary objective of this therapy is to replace inappropriate behaviors with more suitable techniques and to enhance deficient adaptive behaviors that may stem from impaired social or communication skills. The process involves the clinician observing the patient directly and utilizing feedback from trained technicians to assess the effectiveness of the current treatment protocol. Based on these observations, the clinician makes necessary modifications to the adaptive behavior treatment protocol. These changes are then implemented during face-to-face sessions with the patient. Additionally, the clinician provides guidance to the caregiver or guardian on how to administer the new modifications effectively. A comprehensive report is prepared to document the modifications and the patient's progress. The CPT® Code 0368T is designated for the initial 30 minutes of face-to-face time spent with a single patient, while CPT® Code 0369T is used to report each additional 30 minutes of patient interaction, ensuring that the time spent on therapy is accurately captured for billing purposes.

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