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Health behavior intervention, family (with the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

CPT4 code

Name of the Procedure:

Health Behavior Intervention, Family (With the Patient Present), Face-to-Face; Each Additional 15 Minutes (List separately in addition to code for primary service)

Summary

This procedure involves a face-to-face interaction where a healthcare provider works with both the patient and their family to promote healthy behavior changes. It's carried out in addition to the primary health service and can be extended in 15-minute increments as needed.

Purpose

The goal of this intervention is to address specific health behavior issues that a patient faces, with the support of their family. It aims to improve the patient's overall health and well-being by involving family members in the treatment plan.

Indications

  • Chronic conditions like diabetes, obesity, or heart disease
  • Mental health struggles such as anxiety or depression
  • Addictive behaviors, including substance abuse or smoking
  • Adherence issues with treatment plans or medications

Preparation

  • No special preparation is typically needed
  • Patients may be asked to note down questions or concerns
  • Bringing any relevant medical records can be helpful

Procedure Description

  • The healthcare provider discusses the patient's health challenges and goals
  • Family members are involved to provide support and help with implementing changes
  • Topics like diet, exercise, stress management, and medication adherence may be covered
  • Action plans are created and reviewed together

There are no special tools or anesthesia involved, as this is a conversational and supportive intervention.

Duration

Each additional session can last for 15 minutes, on top of the primary service time.

Setting

This intervention can be performed in various settings, including:

  • Outpatient clinics
  • Health centers
  • Hospitals

Personnel

  • Primary healthcare provider (e.g., doctor, nurse, psychologist)
  • Sometimes other health professionals like dietitians or social workers might be involved

Risks and Complications

  • There are minimal physical risks as this is a conversational procedure
  • Emotional distress could occur if sensitive topics are discussed

Benefits

  • Enhanced support for the patient from family members
  • Improved adherence to health plans
  • Increased likelihood of positive health outcomes

Recovery

  • No physical recovery necessary
  • Psychological and emotional support continues via follow-up appointments or ongoing sessions

Alternatives

  • Individual health behavior intervention sessions without family involvement
  • Group therapy or counseling sessions
  • Educational classes or workshops

Patient Experience

During the procedure, the patient and family members will discuss and plan behavior changes in a supportive and understanding environment. While some emotional discomfort might arise when discussing personal health issues, the overall aim is to empower and motivate the patient towards healthier living.

Medical Policies and Guidelines for Health behavior intervention, family (with the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)

Related policies from health plans

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