AMA CPT® Assistant - 2018 Issue 3 (March)

Category III Codes: Adaptive Behavior Treatment (Q&A) (March 2018)

March 2018 page 12 Category III Codes: Adaptive Behavior Treatment Question: A technician saw a patient for direct face-to-face adaptive behavior treatment by protocol from 8:00 AM to 12:00 PM (4 hours). On the same day, for the same patient, a qualified health care professional (QHP) performed oversight and protocol modification from 9:00 AM to 10:00 AM (1 hour). The QHP reported the following codes: seven units of 0365T and one unit each of 0364T, 0368T, 0369T. Please clarify if it is appropriate to report the face-to-face technician time with codes 0364T and 0365T and the QHP supervision time...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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