CPT 0367T: Adaptive Behavior Treatment (deleted)
CPT code 0367T represented an adaptive behavior treatment service within the Adaptive Behavior Analysis family and has been deleted. The deletion affects coding for behavioral health services used to capture specified adaptive behavior interventions. Nationally, removal of codes like 0367T can affect documentation workflows, claims submission, and fee schedule line items for payers and providers that previously recognized Category III or other temporary codes for emerging services.
Key payers included in this review are Aetna, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for adaptive behavior treatment, the code’s deletion status, and how payers listed handle or reference the change. The publication summarizes benchmarks where available, notes related deleted Category III codes in the same family, and highlights policy update implications for billing and coding operations.
This summary provides national-level context for coding and reimbursement teams, revenue cycle stakeholders, and policy analysts seeking clarity on the clinical purpose of 0367T, its deletion, and the expected items to review in internal coding and claims systems.
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Billing Code Overview
CPT code 0367T is listed as an Adaptive Behavior Treatment service that has been deleted. The entry indicates this code belonged to the Adaptive Behavior Analysis family and referenced adaptive behavior treatment services.
Service type: Adaptive Behavior Treatment
Typical site of service: Behavioral health or outpatient therapy settings
Data not available in the input for additional operational details such as service duration or billing guidelines.
National Reimbursement Benchmarks
National commercial rates for CPT 0367T cluster tightly around an average commercial BUCA mean of $13.20, with BUCA’s interquartile spread from $11.70 (P25) to $14.80 (P75). Cigna aligns closely with these levels—Cigna’s mean is $13.20 and median is $12.80—while its min and max are $11.60 and $14.80 respectively, indicating similar central tendency across payers.
Dispersion measured by the P75–P25 range is $3.10 for both BUCA and Cigna (P75 $14.80 minus P25 $11.70), suggesting neither payer exhibits substantial variability relative to the other; both are effectively tied for tightest spread. Cigna’s additional min–max spread of $3.20 ($14.80–$11.60) is marginally larger but still reflects a compact commercial rate band.