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Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutes

CPT4 code

Name of the Procedure:

Health Behavior Intervention, Family (with the Patient Present), Face-to-Face; Initial 30 Minutes

Summary

Health behavior intervention involves a face-to-face consultation between a healthcare professional, the patient, and one or more family members. The session typically lasts 30 minutes and focuses on discussing and promoting healthy behaviors and lifestyle changes to manage or prevent medical conditions.

Purpose

  • Address medical conditions like obesity, diabetes, hypertension, or mental health issues.
  • Set goals for lifestyle changes, such as improved diet, increased physical activity, stress management, and adherence to medication.
  • Strengthening family support in executing these lifestyle changes.

Indications

  • Struggling with chronic conditions like diabetes, hypertension, or obesity.
  • Mental health concerns such as anxiety, depression, or substance abuse.
  • Difficulty adhering to medical advice or treatment plans.
  • Willing family involvement to aid in lifestyle changes for the patient.

Preparation

  • List any current medications and dietary supplements.
  • Be ready to discuss lifestyle habits such as diet, exercise, sleep, and stress levels.
  • No fasting or specific physical preparation required.

Procedure Description

  1. Initial assessment: Discuss the patient's medical history, current conditions, and lifestyle habits.
  2. Identify health goals: Collaboratively set achievable health behaviors and goals.
  3. Education: Provide information about how lifestyle changes can impact health.
  4. Plan development: Create a personalized plan with actionable steps and support strategies.
  5. Family involvement: Discuss roles family members can play in supporting the patient's health journey.
  6. Questions and discussion: Address any questions or concerns the patient or family might have.

Duration

Approximately 30 minutes.

Setting

Typically performed in an outpatient clinic or a healthcare provider's office.

Personnel

  • Primary care physician or specialist
  • Behavioral health specialist (such as a psychologist or health coach)
  • Family members present, along with the patient

Risks and Complications

  • Emotional discomfort when discussing lifestyle changes or health challenges.
  • Potential disagreement or conflict within the family.
  • Generally considered low-risk since it's a non-invasive procedure.

Benefits

  • Improved understanding of health conditions and behaviors.
  • Stronger family support in making and maintaining lifestyle changes.
  • Effective management or prevention of chronic conditions.
  • Realization of benefits might start in a few weeks, depending on the lifestyle changes implemented.

Recovery

  • No physical recovery needed.
  • Implement the discussed health behaviors.
  • Follow-up appointments to monitor progress and make necessary adjustments.

Alternatives

  • Individual health behavior intervention sessions.
  • Group therapy or support groups.
  • Other lifestyle intervention programs (e.g., online health coaching, community wellness programs).
  • Comparatively, family intervention may provide stronger support and higher success rates due to shared involvement and accountability.

Patient Experience

  • Patient might feel a variety of emotions while discussing personal health and lifestyle habits.
  • Generally, the patient should feel supported and motivated to make changes.
  • Family involvement can provide emotional backing, making the journey towards healthier behaviors more collaborative and less isolating.

Medical Policies and Guidelines for Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutes

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