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In what ways was the session rendered more interactively complex by the presence of the family members? What were the facilitative and restraining behaviors of the family that complicated your assessment? What would the solutions be? How would you document the interaction and mark it as interactively complex? Psychiatric interactive complexity is a CPT code and concept used in communicating to payers. When care is more psychiatrically complex due to interactive complexity, providers can document the complexity and be compensated for the additional complexity. Interactive complexity is referred to in circumstances with children and adolescents when others need to be involved to help with communication legally responsible adults; interpreters; child welfare agency probation officer, school presence; the need to manage maladaptive communication that complicates care (ie. disagreements, caregiver emotions or behaviors that interfere with treatment plans, mandated reporting to third parties and sentinel event disclosure, use of play equipment, etc). When these circumstances occur, an additional add-on code for complexity is added.
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