Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-to-face with patient and/or guardian(s)/caregiver(s) ad
CPT4 code
Name of the Procedure:
Behavior Identification Assessment
Summary
A Behavior Identification Assessment is a procedure where a physician or another qualified health care professional spends dedicated face-to-face time with a patient and/or their guardian(s) or caregiver(s) in order to identify and understand behaviors. This assessment is conducted in 15-minute intervals.
Purpose
The assessment aims to evaluate and understand specific behaviors, often to diagnose behavioral disorders or to create tailored treatment plans. This helps manage conditions such as Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder (ADHD), or other developmental and behavioral issues.
Indications
- Persistent behavioral issues not resolved with standard interventions.
- Symptoms of developmental or behavioral disorders.
- Difficulty in social interactions, communication, or repetitive behaviors.
- Caregiver concerns about the child's behavior or development.
Preparation
- There may be preliminary questionnaires or forms to fill out.
- Review of previous medical, psychological, and educational records.
- No special fasting or medication adjustments unless otherwise directed.
Procedure Description
- The health care professional meets face-to-face with the patient and/or guardian(s)/caregiver(s).
- Through observation, interviews, and standardized assessments, they gather information on specific behaviors.
- The professional may use tools such as behavior checklists, rating scales, or direct observation techniques.
- Involving the patient directly includes a review of their medical history, developmental milestones, and specific behavioral concerns.
Duration
Each session of this procedure typically lasts 15 minutes. Multiple sessions may be required based on the complexity of the behavior being assessed.
Setting
The procedure can be conducted in various settings, including hospitals, outpatient clinics, or even home environments, depending on what is most appropriate for the patient.
Personnel
- Physicians specialized in behavioral health, developmental pediatrics, or psychiatry.
- Qualified health care professionals such as clinical psychologists, behavioral therapists, or specially trained nurses.
Risks and Complications
- Minimal risks as it is a non-invasive procedure.
- Potential for discomfort or distress in the patient due to discussing sensitive behaviors.
Benefits
- Comprehensive understanding of the patient's behavior.
- Accurate diagnosis leading to an effective treatment plan.
- Improved management of behavioral issues.
Recovery
There is no physical recovery needed from this assessment. Follow-up sessions may be scheduled to discuss findings and plan interventions.
Alternatives
- General medical evaluations without specialized behavioral focus.
- Consultations with school counselors or educational psychologists.
- Standardized tests and screenings independently administered outside a specialized setting.
Patient Experience
The patient may feel observed and questioned, which could cause some discomfort or anxiety. However, measures are taken to ensure a supportive and non-judgmental environment. Caregivers are often involved to provide comfort and context.