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Biofeedback training is a therapeutic technique aimed at helping patients gain awareness and control over physiological functions that are typically automatic and involuntary. This process does not aim to cure diseases but rather empowers individuals to manage their bodily responses, which can significantly influence their overall health and well-being. Various healthcare specialists utilize biofeedback to address a range of physical conditions, including but not limited to migraine headaches, chronic pain, digestive disorders, fluctuations in blood pressure, cardiac arrhythmias, Raynaud's disease, epilepsy, and paralysis resulting from strokes or cerebral palsy. The biofeedback process involves identifying specific triggers that exacerbate symptoms and employing relaxation techniques to mitigate these effects. During a session, clinicians attach electrical sensors to various body parts to monitor physiological indicators such as muscle tension, heart rate, and temperature. These sensors connect to a biofeedback machine that provides real-time feedback through auditory signals or visual cues, alerting the patient to changes in their physiological state. Patients are trained to respond to this feedback by focusing on techniques to reduce muscle tension, lower heart rates, or adjust body temperature, thereby enhancing their ability to manage their symptoms. Each biofeedback training session typically lasts between 30 to 60 minutes, and patients are encouraged to practice these techniques at home regularly to reinforce their ability to control physiological responses effectively.
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Biofeedback training is indicated for a variety of physical conditions and symptoms, allowing patients to learn how to manage their physiological responses effectively. The following are specific indications for which biofeedback training may be performed:
The biofeedback training procedure involves several key steps that facilitate the patient's learning process in controlling their physiological responses. The following outlines the procedural steps involved:
Following biofeedback training sessions, patients are expected to engage in regular practice of the techniques learned to enhance their ability to manage physiological responses effectively. The typical duration of a biofeedback session ranges from 30 to 60 minutes, and patients may require multiple sessions to achieve optimal results. It is important for patients to maintain a consistent practice routine at home, as this will aid in solidifying the skills acquired during the sessions. Clinicians may also provide additional resources or guidance to support the patient's ongoing practice and ensure they are effectively utilizing the techniques to manage their symptoms.
| Short Descr | BIOFEEDBACK TRAIN ANY METH | Medium Descr | BIOFEEDBACK TRAINING ANY MODALITY | Long Descr | Biofeedback training by any modality | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5D - Specialist - other | MUE | 1 | CCS Clinical Classification | 213 - Physical therapy exercises, manipulation, and other procedures |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GP | Services delivered under an outpatient physical therapy plan of care | KX | Requirements specified in the medical policy have been met | GO | Services delivered under an outpatient occupational therapy plan of care | CQ | Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant | GW | Service not related to the hospice patient's terminal condition | GN | Services delivered under an outpatient speech language pathology plan of care | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | GA | Waiver of liability statement issued as required by payer policy, individual case | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | CO | Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant | HO | Masters degree level | KQ | Second or subsequent drug of a multiple drug unit dose formulation | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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| 2011-01-01 | Changed | Short description changed. |
| 1997-01-01 | Added | First appearance in code book in 1997. |
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