Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; re-assessment
CPT4 code
Name of the Procedure:
Health and Behavior Re-assessment (Health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires)
Summary
Health and Behavior Re-assessment involves a range of activities such as interviews, observations, and questionnaires designed to evaluate a patient's behavioral and psychological health alongside their physical health. Conducted face-to-face, each session lasts 15 minutes.
Purpose
This procedure addresses health conditions that may be influenced by psychological factors, providing insights into how a patient's behavior and mental state affect their overall health. The goals are to reassess the patient’s current status, identify any changes since the initial assessment, and guide further treatment.
Indications
- Ongoing management of chronic illnesses
- Mental health conditions impacting physical health
- Stress-related health problems
- Behavioral issues affecting medical treatment compliance
Patients suitable for this procedure typically:
- Have chronic conditions with psychological components
- Are undergoing treatment that requires behavioral adjustments
- Have demonstrated changes in health behavior or status
Preparation
- No specific fasting or medication adjustments required.
- Patients may be asked to complete preliminary questionnaires.
Procedure Description
- The healthcare provider conducts a 15-minute face-to-face clinical interview focused on health-related behaviors and symptoms.
- Behavioral observations are noted to assess the patient’s condition.
- Psychophysiological monitoring may be used to gather data such as heart rate or blood pressure.
- Health-oriented questionnaires are completed to provide additional insight into the patient’s behavioral health.
No anesthesia or sedation is required.
Duration
Each re-assessment session typically lasts 15 minutes.
Setting
The procedure is usually performed in an outpatient clinic or medical office.
Personnel
Primary professionals involved include:
- Clinical psychologists
- Health psychologists
- Behavioral health specialists
Risks and Complications
This non-invasive procedure carries minimal risk. Rarely, discussing health behaviors and psychophysiological monitoring may cause temporary discomfort.
Benefits
- Provides updated insights into the patient’s behavior and health status.
- Helps in adjusting treatment plans to improve overall health outcomes.
- Can enhance patient compliance and motivation.
Benefits are often realized soon after the session, with immediate adjustments to treatment plans as necessary.
Recovery
No specific recovery measures are needed. Patients can resume normal activities immediately after the session.
Alternatives
- Full psychological assessment: More comprehensive but involves longer sessions.
- Standard medical follow-ups: Focused on physical health without the behavioral component.
Alternatives might not offer the same integrated view of behavioral and physical health.
Patient Experience
During the procedure, patients can expect a supportive and interactive session, discussing and observing their behaviors and health status. There's usually no physical discomfort, and they can ask questions and receive immediate feedback.