H2019 Therapeutic behavioral services, per 15 minutes

HCPCS code

# Therapeutic Behavioral Services, per 15 minutes (H2019)

#### Name of the Procedure:
- **Common Name**: Therapeutic Behavioral Services
- **Technical/Medical Term**: TBS, H2019

#### Summary
Therapeutic Behavioral Services (TBS) involve structured, goal-oriented therapy sessions aimed at addressing behavioral and emotional health issues. These sessions typically last for 15 minutes and are designed to help patients develop coping strategies and behavioral modifications.

#### Purpose
TBS aims to address various behavioral and emotional issues such as anxiety, depression, behavioral outbursts, and difficulties in social interactions. The primary goal is to improve the patient’s mental health and overall quality of life through targeted interventions and therapy.

#### Indications
- Symptoms like persistent sadness, excessive worry, or behavioral outbursts.
- Conditions such as anxiety disorders, depression, ADHD, and conduct disorder.
- Patients who have not responded adequately to initial interventions or therapies.

#### Preparation
- No specific fasting or medication adjustments required.
- Initial assessment and diagnosis by a mental health professional are necessary.
- Patients may be asked to complete questionnaires or psychological assessments to tailor the therapy.

#### Procedure Description
1. **Initial Assessment**: The therapist assesses the patient’s mental health and behavioral issues.
2. **Goal Setting**: Specific, personalized goals are established.
3. **Intervention**: The therapist employs various techniques, such as cognitive-behavioral therapy, to address the issues.
4. **Monitoring and Adjustment**: The patient's progress is monitored, and techniques are adjusted as needed.

- Tools: Counseling space, therapeutic activities, and may use psychiatric assessment tools.
- No anesthesia or sedation is involved.

#### Duration
Each session typically lasts for 15 minutes.

#### Setting
TBS can be performed in various settings, including:
- Outpatient clinics
- Mental health facilities
- Schools
- Home-based settings

#### Personnel
- Licensed Therapists (e.g., psychologists, clinical social workers)
- Behavioral health specialists

#### Risks and Complications
- **Common risks**: Emotional discomfort, initial increase in stress or anxiety as sensitive issues are addressed.
- **Rare risks**: Severe emotional reactions; these are managed by the therapist with appropriate interventions.

#### Benefits
- Improved mental health and emotional well-being.
- Enhanced coping mechanisms and behavioral adjustments.
- Benefits can often be realized within a few weeks but vary by individual.

#### Recovery
- No physical recovery required.
- Post-session, patients may feel emotionally drained but typically feel better after some rest.
- Continuous progress is often seen with regular sessions; follow-up appointments are crucial for sustained improvement.

#### Alternatives
- **Other Therapies**: Medication, group therapy, family therapy.
- **Pros and Cons**: Medication can provide quicker relief but may have side effects; group therapy offers peer support but lacks individual focus.

#### Patient Experience
- **During the Procedure**: Patients might feel a range of emotions as they discuss personal issues.
- **After the Procedure**: Emotional relief and clarity; occasional emotional exhaustion which can be managed with rest and self-care.
- **Pain Management**: Typically, no physical pain; emotional discomfort managed by the therapist.

Medical Policies and Guidelines for Therapeutic behavioral services, per 15 minutes

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