Genetic counseling, under physician supervision, each 15 minutes
HCPCS code
Genetic Counseling, Under Physician Supervision, Each 15 Minutes (S0265)
Name of the Procedure:
Genetic Counseling
Common names: Genetic Counseling
Technical term: Genetic consultation
Summary
Genetic counseling is a process where individuals or families receive information and support regarding genetic conditions. The counseling session, supervised by a physician, typically lasts 15 minutes. It involves discussing the risks, benefits, and implications of genetic testing, as well as understanding hereditary conditions.
Purpose
Medical Conditions Addressed:
- Hereditary diseases
- Familial cancer syndromes
- Genetic disorders
Goals and Expected Outcomes:
- Identify the risk of genetic conditions
- Provide information on genetic testing options
- Support decision-making regarding medical or lifestyle changes
- Enable informed choices about family planning
Indications
Specific Symptoms or Conditions:
- Family history of genetic conditions
- Personal or family history of cancer
- High-risk pregnancies
- Recurrent miscarriages
Patient Criteria:
- Those considering genetic testing
- Individuals with a known genetic disorder
- Families with a history of inherited diseases
Preparation
Pre-procedure Instructions:
- Gather family medical history details
- Complete any requested questionnaires
Diagnostic Tests:
- Pre-counseling genetic tests or screenings if indicated
Procedure Description
Step-by-Step Explanation:
- Initial consultation to gather family and personal medical history
- Discussion about genetic risks and inheritance patterns
- Information on potential genetic tests and their implications
- Providing emotional support and answering questions
Tools and Technology:
- Pedigree charts
- Genetic testing kits (if testing is decided)
Anesthesia or Sedation:
- Not applicable
Duration
Each session typically lasts 15 minutes but can vary based on patient needs.
Setting
Location:
- Outpatient clinic
- Hospital consultation room
Personnel
Healthcare Professionals Involved:
- Genetic counselor
- Supervising physician
- Occasionally, a nurse for additional support
Risks and Complications
Common Risks:
- Psychological stress or anxiety
- Emotional impact from test results
Rare Risks:
- Misinterpretation of results (minimized by professional counseling)
Management:
- Follow-up support with counseling
Benefits
Expected Benefits:
- Better understanding of genetic risks
- Informed decision-making regarding health and family planning
- Early detection and management of genetic conditions
Timeline:
- Benefits can be immediate, particularly in understanding and planning
Recovery
Post-procedure Care:
- Follow-up counseling sessions if needed
- Psychological support and resources
Expected Recovery Time:
- Immediate, though emotional processing may take longer
Restrictions and Follow-Up:
- No physical restrictions; follow-up based on individual needs
Alternatives
Other Treatment Options:
- Direct consultation with a genetic specialist
- Online genetic counseling services
Pros and Cons:
- Genetic specialist consultation can be more comprehensive but less accessible
- Online services offer convenience but may lack personal interaction
Patient Experience
During the Procedure:
- Detailed conversation and information sharing
- Possible emotional responses
Pain Management and Comfort Measures:
- No physical pain; focus on emotional support
- Comfort measures include providing a supportive environment and access to additional psychological resources if needed
By understanding genetic counseling through this structured guide, patients can make informed decisions and prepare effectively for their sessions.